Active NPI
Michael J Oneill MD PLLC
- Family Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1700250073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MICHAEL J ONEILL MD PLLC
- Practice address
- 1465 Kelly Johnson Blvd
Suite 310
Colorado Springs, CO 80920-3955 - Phone
- (719) 419-7490
- Fax
- (719) 309-6847
- NPI assigned
- Nov 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J O'Neill, MD
- Title
- President
- Phone
- (719) 465-1849
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1465 Kelly Johnson Blvd
Suite 310
Colorado Springs, CO 80920-3955
Mailing address
1465 Kelly Johnson Blvd
Suite 310
Colorado Springs, CO 80920-3955
Phone (719) 419-7490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
240 Beacon Lite Rd
Monument, CO 80132
Phone (719) 419-7490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Monument, CO
- NPI 1215943808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453766400000",
"number": "1700250073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 KELLY JOHNSON BLVD",
"address_2": "SUITE 310",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203955",
"telephone_number": "719-419-7490",
"fax_number": "719-309-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 KELLY JOHNSON BLVD",
"address_2": "SUITE 310",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203955",
"telephone_number": "719-419-7490",
"fax_number": "719-309-6847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J ONEILL MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-24",
"last_updated": "2016-01-26",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-465-1849",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.