Active NPI
Kathryn Carol O'Neil, PA-C
- Physician Assistant
- Gastonia, NC
National Provider Identifier
1669846200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-08373
- Practice address
- 3302 S New Hope Rd Ste 100B
Gastonia, NC 28056 - Phone
- (704) 879-4936
- NPI assigned
- Nov 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 019197 | NY | |
| Physician Assistant | 363A00000X | 0010-08373 | NC | Primary |
Addresses
Primary practice location
3302 S New Hope Rd Ste 100B
Gastonia, NC 28056
Mailing address
3302 S New Hope Rd Ste 100B
Gastonia, NC 28056-8317
Phone (704) 879-4936
Other practice location 1
3302 S New Hope Rd Ste 100B
Gastonia, NC 28056
Phone (704) 879-4936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-08373 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integritas Wellness and Hormone Center | Past | Accepting new patients | |
| Potomac Physician Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Gastonia, NC
- NPI 1720459670
-
- Family Medicine Physician
- Chevy Chase, MD
- NPI 1831112143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1669846200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 S NEW HOPE RD STE 100B",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280568317",
"telephone_number": "704-879-4936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 S NEW HOPE RD STE 100B",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28056",
"telephone_number": "704-879-4936"
}
],
"practiceLocations": [
{
"address_1": "3302 S New Hope Rd Ste 100B",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "28056",
"country_code": "US",
"telephone_number": "704-879-4936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'NEIL",
"first_name": "KATHRYN",
"middle_name": "CAROL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "019197",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-08373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.