MICHELLE O'NEIL PA NPI 1568736411

NPI Information

NPI: 1568736411
Provider Name: MICHELLE O'NEIL, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 459-7101
Get Directions

Michelle O'neil, PA is a medical physician assistant in Grand Rapids, MI. Michelle O'neil, PA NPI is 1568736411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 459-7101

The enumeration date for this NPI number is 2/23/2012 and was last updated on 3/18/2019.

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	363A00000X	Physician Assistant		0110003755	VIRGINIA	No
2	363A00000X	Physician Assistant		5601007359	MICHIGAN	No
3	363AM0700X	Physician Assistant	Medical	5601007359	MICHIGAN	Yes
4	363AS0400X	Physician Assistant	Surgical	5601007359	MICHIGAN	No

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	D14869180	OTHER	MICHIGAN	MEDICARE PTAN

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: 11/14/2023

NPI Synchronization or Removal

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