Provider Demographics
NPI:1437183886
Name:ONEILL, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:ONEILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-0160
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12 YEATON RD
Practice Address - Street 2:STE C4
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-3457
Practice Address - Country:US
Practice Address - Phone:603-536-2270
Practice Address - Fax:603-536-2277
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8013207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0009958Medicaid
NHGRS001OtherOXFORD HEALTH
NH200023235OtherRAILROAD MEDICARE
612977900OtherUS DEPT LABOR
NH0105342Y0NH03OtherANTHEM
NH30002835Medicaid
612977900OtherUS DEPT LABOR
NH30002835Medicaid
NH6058360001Medicare NSC