Individual provider Active NPI

Patrick O'Neill, MD

  • Plastic and Reconstructive Surgery Physician
  • Daniel Island, SC
National Provider Identifier
1750304333
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
16249 Issued in SC
Practice address
245 Seven Farms Dr
Suite 210
Daniel Island, SC 29492-8500
Phone
(843) 881-2130
Fax
(843) 471-2404
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 16249 SC Primary

Addresses

Primary practice location

245 Seven Farms Dr
Suite 210
Daniel Island, SC 29492-8500

Mailing address

245 Seven Farms Dr
Suite 210
Daniel Island, SC 29492-8500
Phone (843) 881-2130

Other identifiers 1

IdentifierTypeStateIssuer
162497MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000853 SC Practitioner - Plastic and Reconstructive Surgery 5698726255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Medical University of South Carolina College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
O'Neill Plastic Surgery, PAGroup PAC ID 3678624244, 4 clinicians

Practice addresses (Care Compare)

245 Seven Farms Dr
Suite 210
Daniel Island, SC 29492-8502
Phone (843) 881-2130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jan 1, 2004 Accepting new patients
O'Neill Plastic Surgery, PA CurrentSince May 11, 2009 Accepting new patients
University Medical Associates of the Medical University of South Carol Past Accepting new patients

Locations

300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746

1483 Tobias Gadson Blvd
Ste 202
Charleston, SC 29407
Phone (843) 763-2320

2125 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 573-1503

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

245 Seven Farms Dr
Ste 210
Daniel Island, SC 29492
Phone (843) 881-2130

1300 Hospital Dr
Ste 210
Mt Pleasant, SC 29464
Phone (803) 884-2477

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1750304333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 SEVEN FARMS DR",
            "address_2": "SUITE 210",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928500",
            "telephone_number": "843-881-2130",
            "fax_number": "843-471-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 SEVEN FARMS DR",
            "address_2": "SUITE 210",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928500",
            "telephone_number": "843-881-2130",
            "fax_number": "843-471-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "16249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162497",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

Verify at the official NPI Registry.