Organization Active NPI

David C. O'Neil, MD PHD, PC

  • Internal Medicine Physician
  • Orchard Park, NY
National Provider Identifier
1982705745
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
172109 Issued in NY
Legal business name
DAVID C. O'NEIL, MD PHD, PC
Practice address
3755 Abbott Rd
Orchard Park, NY 14127-2115
Phone
(716) 649-4454
Fax
(716) 649-4794
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. David Charles O'Neil, M.D.
Title
President
Phone
(716) 649-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 172109 NY Primary

Addresses

Primary practice location

3755 Abbott Rd
Orchard Park, NY 14127-2115

Mailing address

3755 Abbott Rd
Orchard Park, NY 14127-2115
Phone (716) 649-4454

Other identifiers 1

IdentifierTypeStateIssuer
01074693MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1982705745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 ABBOTT RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272115",
            "telephone_number": "716-649-4454",
            "fax_number": "716-649-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 ABBOTT RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272115",
            "telephone_number": "716-649-4454",
            "fax_number": "716-649-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. O'NEIL, MD PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-649-4454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "172109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01074693",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.