JONATHAN PATRICK O'NEIL M.D. NPI 1417163205

NPI Information

NPI: 1417163205
Provider Name: JONATHAN PATRICK O'NEIL, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
1725 E BOULDER ST
SUITE 101
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 365-6300
Get Directions

Jonathan Patrick O'neil, M.D. is a neurology psychiatry neurology in Colorado Springs, CO with 21 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Jonathan Patrick O'neil, M.D. NPI is 1417163205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2003

The provider's business location address is:

1725 E BOULDER ST
SUITE 101
COLORADO SPRINGS, CO
ZIP 80909-768
Phone: (719) 365-6300
Fax: (719) 365-6094

The NPI 1417163205 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 5/16/2007 and was last updated on 10/16/2015.

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	2084N0400X	Psychiatry & Neurology	Neurology	036.120249	ILLINOIS	No
2	2084S0012X	Psychiatry & Neurology	Sleep Medicine	036.120249	ILLINOIS	No
3	2084S0012X	Psychiatry & Neurology	Sleep Medicine	DR.0055095	COLORADO	No
4	2084N0400X	Psychiatry & Neurology	Neurology	DR.0055095	COLORADO	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
1	R01592	MEDICARE PIN	ILLINOIS
2	407521YLB8	MEDICARE PIN	COLORADO
3	96904224	MEDICAID	COLORADO

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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