Organization Active NPI

O'Neill Plastic Surgery, PA

  • Medical Specialty Clinic/Center
  • Daniel Island, SC
National Provider Identifier
1841425832
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
008205239 Issued in SC
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

Updated by the provider on May 20, 2009

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.NPI 1750304333
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20090623000219 SC Part B Supplier - Clinic/Group Practice 3678624244 Receives reassigned benefits from 4 practitioners
Practice locations: Daniel Island, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1095957O'Neill Plastic Surgery, PA245 Seven Farms Drive, Ste 210, Daniel Island, SC 29492Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.