Individual provider Active NPI

William H O'Neal, PA

  • Physician Assistant
  • Richmond, VA
National Provider Identifier
1811968563
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002071 Issued in VA
Practice address
1471 Johnston Willis Dr
Richmond, VA 23235-4730
Phone
(804) 320-1333
Fax
(804) 320-5606
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002071 VA Primary

Addresses

Primary practice location

1471 Johnston Willis Dr
Richmond, VA 23235-4730

Mailing address

1471 Johnston Willis Dr
Richmond, VA 23235-4730
Phone (804) 320-1333

Other identifiers 2

IdentifierTypeStateIssuer
P00703821OtherVARR MEDICARE
1811968563MedicaidVA

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

LicenseStateTypeSpecialty
0110002071VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Recorian Wellness Services, LLC PastSince Dec 6, 2020 Accepting new patients
H2U Wellness Centers, LLC Past Accepting new patients
First Onsite, LLC Past Accepting new patients

Organizations & group practices 3

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1811968563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 JOHNSTON WILLIS DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-320-1333",
            "fax_number": "804-320-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 JOHNSTON WILLIS DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-320-1333",
            "fax_number": "804-320-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00703821",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811968563",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.