William J O'Neill

Primary specialty

PodiatristTaxonomy code 213E00000X

License

187 Issued in NC

Practice address

1711 Davie Ave
Statesville, NC 28677-3521

Phone

(704) 873-9797

Fax

(704) 873-9794

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: oneill.william.001.0330098@cfca.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William J Oneill

  • Podiatrist
  • Clemmons, NC
  • NPI 1881643419
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1619971017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773521",
            "telephone_number": "704-873-9797",
            "fax_number": "704-873-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773521",
            "telephone_number": "704-873-9797",
            "fax_number": "704-873-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908129",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Novant Medical Group, Inc.
• Novant Medical Group, Inc.
• Andrea Nunn, ED.S., NCSP
• Nuvu Health
• O. Jerry Hill, Jr. DDS, PA
• Karen Ockenholt, NPP
• Mary Kay Oconner
• Christiana Obiamaka Oduah-Thomas, RN
• Theophania Ofori Buah, AGPCNP
• Vida Nyarkoah Ohene-Agyeman

• Podiatrist in Statesville, NC
• Providers in Statesville, NC by specialty
• Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.