DR. JERALD DREW O'NEAL M.D. NPI 1114941002

NPI Information

NPI: 1114941002
Provider Name: DR. JERALD DREW O'NEAL, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
704 THIMBLE SHOALS BLVD
BUILDING 700
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 873-2000
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DR. Jerald Drew O'neal, M.D. is a specialist in Newport News, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jerald Drew O'neal, M.D. NPI is 1114941002. 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:

704 THIMBLE SHOALS BLVD
BUILDING 700
NEWPORT NEWS, VA
ZIP 23606-544
Phone: (757) 873-2000
Fax: (757) 873-2003

The NPI 1114941002 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 3/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		0101034725	VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	66033	OTHER	VIRGINIA	OPTIMA
2	5655862	MEDICAID	VIRGINIA
3	0101034725	OTHER	VIRGINIA	MEDICAL LICENSE
4	045456	OTHER	VIRGINIA	HEALTHKEEPERS
5	080012050	OTHER	VIRGINIA	RR MEDICARE
6	045456	OTHER	VIRGINIA	BCBS

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

NPI Synchronization or Removal

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