Kathleen Anne O'Neil, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

286018-1205 Issued in UT

Practice address

1433 N 1075 W Ste 104
Farmington, UT 84025-2746

Phone

(801) 298-1300

Fax

(801) 296-6199

NPI assigned

Jul 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Moab Valley Healthcare, Inc

  dba Moab Regional Hospital

  • Critical Access Hospital
  • Moab, UT
  • NPI 1770513236
  Medicare reassignment
• Ogden Imaging LLC

  dba Utah Imaging Ogden

  • Diagnostic Radiology Physician
  • Ogden, UT
  • NPI 1386968980
  NPD (past)
• Schryver Medical Sales and Marketing LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Sandy, UT
  • NPI 1528006046
  NPD (past)
• University of Utah OB Diagnostic Center

  • Diagnostic Ultrasound Physician
  • Salt Lake City, UT
  • NPI 1417983776

  Diagnostic Radiology

  NPD (past)
• University Radiology Associates

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
  • NPI 1639124498
  NPD (past)
• Utah Imaging Centers LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • West Valley City, UT
  • NPI 1598763294
  NPD (past)
• West Valley Imaging LLC

  dba Utah Imaging West Valley

  • Diagnostic Radiology Physician
  • West Valley City, UT
  • NPI 1013231612
  NPD (past)
• New Schryver LLC

  dba TridentCare

  • Clinical Medical Laboratory
  • Carrollton, TX
  • NPI 1689025116
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1881693950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25488",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250488",
            "telephone_number": "800-475-3698",
            "fax_number": "801-296-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N 1075 W STE 104",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252746",
            "telephone_number": "801-298-1300",
            "fax_number": "801-296-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "286018-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805467900",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002082476",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "922965",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00651553",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D2876",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00204541",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120744000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florence Ann Nielsen, CSW
• Jen Nielsen, RN
• Jessinna Nielson, FNP-C
• Maureen Sue Noble, ACMHC
• Sydney Northcutt, RBT
• Oakridge Dental
• Conner Jack Ogden, DMD
• Neriza Teh Oka, RN
• Stephanie L Olsen, MD
• Onsyte Surgical of Nevada, LLC

• Diagnostic Radiology Physician in Farmington, UT
• Providers in Farmington, UT by specialty
• Diagnostic Radiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.