John Grey O'Neill III, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C55278 Issued in CA

Practice address

12404 Hatton Chase LN W
Jacksonville, FL 32258

Phone

(904) 386-3359

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Radiology Health Imaging, LLC

  • Radiology Clinic/Center
  • Jacksonville, FL
  • NPI 1225138787
  NPD (past) Authorized official
• Neurology Associates of Ormond Beach PA

  • Specialist
  • Ormond Beach, FL
  • NPI 1083679609

  Multi-Specialty

  NPD (past)
• Ormond Radiology Partnership, L.L.C

  dba Suncoast Imaging of Port Orange

  • Diagnostic Radiology Physician
  • Port Orange, FL
  • NPI 1053377861

  Multi-Specialty

  NPD (past)
• Ormond Radiology Partnership, L.L.C.

  dba Suncoast MRI of Ormond

  • Diagnostic Radiology Physician
  • Ormond Beach, FL
  • NPI 1285690099

  Multi-Specialty

  NPD (past)
• Suncoast Radiology, P.a.

  • Diagnostic Radiology Physician
  • Ormond Beach, FL
  • NPI 1083670871

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1831155381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12404 HATTON CHASE LN W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322584435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12404 HATTON CHASE LN W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32258",
            "telephone_number": "904-386-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "JOHN",
        "middle_name": "GREY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME87833",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME87833",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C55278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CA",
            "identifier": "CB281166",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267254500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CA",
            "identifier": "CA282270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01893755",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CA",
            "identifier": "CA266418",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01965489",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7726991",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CA",
            "identifier": "CA266394",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoebe O'Mara
• Regina P. O'Nan, OD, MBA, FAAO
• Jennifer Vanda O'Neal, APRN
• Jamie O'Neill, APRN
• Jennifer S O'Neill, CRNA
• Colby J O'Quin, PMHNP DNP
• Melissa O'Quin
• Rajon O'Quinn
• Regan O'Rourke, LMHC
• Kevin William O'Shaughnessy, D.M.D.

• Diagnostic Radiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.