Active NPI
O'Neill Plastic Surgery, PA
- Medical Specialty Clinic/Center
- Daniel Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 008205239
- Legal business name
- O'NEILL PLASTIC SURGERY, PA
- Practice address
- 245 Seven Farms Dr
Ste 210
Daniel Island, SC 29492-8500 - Phone
- (843) 881-2130
- NPI assigned
- May 20, 2009
- 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
- Dr. Patrick Joseph O'Neill, M.D.
- Title
- Owner
- Phone
- (843) 881-2130
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 |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 008205239 | SC | Primary |
Addresses
Primary practice location
245 Seven Farms Dr
Ste 210
Daniel Island, SC 29492-8500
Mailing address
245 Seven Farms Dr
Ste 210
Daniel Island, SC 29492-8500
Phone (843) 881-2130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1095957 | O'Neill Plastic Surgery, PA | Certificate of waiver | Feb 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
245 Seven Farms Dr
Ste 210
Daniel Island, SC 29492
Phone (843) 881-2130
245 Seven Farms Dr
Daniel Island, SC 29492
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Daniel Island, SC
- NPI 1750304333
-
- Surgery Physician
- Daniel Island, SC
- NPI 1134205420
-
- Physician Assistant
- Sullivans Island, SC
- NPI 1124483722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242777600000",
"number": "1841425832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 SEVEN FARMS DR",
"address_2": "STE 210",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294928500",
"telephone_number": "843-881-2130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 SEVEN FARMS DR",
"address_2": "STE 210",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294928500",
"telephone_number": "843-881-2130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O'NEILL PLASTIC SURGERY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-881-2130",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "SC",
"license": "008205239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daniel Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.