Individual provider Active NPI

Ryan O'Neal, P.A.-C

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1750306007
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004596 Issued in CO
Practice address
2767 Janitell Rd
Colorado Springs, CO 80906-4102
Phone
(719) 365-2888
Fax
(719) 365-1577
NPI assigned
Jul 13, 2006
Last updated
Dec 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002096 VA
Physician Assistant 363A00000X 1030 NE
Physician Assistant 363A00000X PA.0004596 CO Primary

Addresses

Primary practice location

2767 Janitell Rd
Colorado Springs, CO 80906-4102

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-2417

Other practice location 1

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505000980 CO Practitioner - Physician Assistant 7315849197 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Usacs of Colorado IncGroup PAC ID 4981507571, 48 clinicians
Pulse Family Acute Care Center, Prof. LLCGroup PAC ID 0840399879, 5 clinicians

Practice addresses (Care Compare)

1035 Garden of the Gods Rd
Colorado Springs, CO 80907-9427
Phone (719) 329-1000

13445 Voyager Pkwy
Colorado Springs, CO 80921-7648
Phone (719) 219-0333

1415 Pawprint CT
Colorado Springs, CO 80921-3721
Phone (913) 636-9543

2767 Janitell Rd
Colorado Springs, CO 80906-4102
Phone (719) 365-2888

2773 Janitell Rd
Colorado Springs, CO 80906-4102
Phone (719) 591-2558

4323 Integrity Ctr PT
Colorado Springs, CO 80917-1683
Phone (719) 591-2558

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

7475 McLaughlin Rd
Peyton, CO 80831-4716
Phone (719) 495-9994

7700 S Broadway
Littleton, CO 80122-2602
Phone (303) 269-4786

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006814MOMDAcupuncturist
PA.0004596COMDPhysician Assistant
0110002096VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 27, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 27, 2023 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Colorado Springs Orthopaedic Group CurrentSince Sep 18, 2018 Accepting new patients
Usacs of Colorado Inc CurrentSince Jan 1, 2023 Accepting new patients
True North Health Navigation LLC CurrentSince Dec 1, 2021 Accepting new patients
Colorado Springs Orthopaedic Group CurrentSince Sep 18, 2018 Accepting new patients
Omaha Emergency Physicians PC Past Accepting new patients
Nall Emergency Physicians, LLC Past Accepting new patients
Riverside Emergency Physicians LLP Physician Assistant Past Accepting new patients

Locations

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Unit 101
Castle Rock, CO 80104
Phone (720) 733-5260

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

1259 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
Phone (719) 867-7335

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

4110 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 867-7329

4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558

5825 Delmonico Dr
Ste 101
Colorado Springs, CO 80919
Phone (706) 315-2523

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

4943 State Highway 52
Ste 100
Erie, CO 80514
Phone (303) 925-4840

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

9949 S Oswego St
Parker, CO 80134
Phone (303) 925-4700

11605 Meridian Market Vw
Ste 184
Peyton, CO 80831
Phone (719) 364-9555

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1750306007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-2417",
            "fax_number": "970-652-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 JANITELL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064102",
            "telephone_number": "719-365-2888",
            "fax_number": "719-365-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-594-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "RYAN",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002096",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1030",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.