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JACOB M O'NEILL M.D. NPI 1104822279


NPI Information

NPI: 1104822279
Provider Name: JACOB M O'NEILL, M.D.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Address:
225 CROSSLAKE DR
EVANSVILLE, IN
ZIP 47715
Phone: (812) 477-1558
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Jacob M O'neill, M.D. is an orthopaedic surgery in Evansville, IN. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Jacob M O'neill, M.D. NPI is 1104822279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

225 CROSSLAKE DR
EVANSVILLE, IN
ZIP 47715-198
Phone: (812) 477-1558
Fax: (812) 488-4669

The enumeration date for this NPI number is 6/23/2005 and was last updated on 10/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery30896KENTUCKYNo
2207X00000XOrthopaedic Surgery01048828AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200830150MEDICAIDINDIANA
2C36114MEDICARE UPINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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