Provider Demographics
NPI:1649279761
Name:PYKE, ONEIL JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:ONEIL
Middle Name:JOSEPH
Last Name:PYKE
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 1:5607 NW 27TH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-2826
Mailing Address - Country:US
Mailing Address - Phone:305-805-1700
Mailing Address - Fax:305-805-1715
Practice Address - Street 1:5361 NW 22ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-8035
Practice Address - Country:US
Practice Address - Phone:305-637-6400
Practice Address - Fax:305-636-5155
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD072566L208M00000X
FLME152295207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA216417OtherUPMC
PAP00140326OtherRR MEDICARE
PA063693OtherBLUE SHIELD
PA151702OtherUNISON
PA1530688OtherGATEWAY
PA7341320OtherAETNA
NY02219703OtherNY MEDICAID
OH2222473OtherOH MEDICAID
NY00026416802OtherUNIVERA
PA0018236760005Medicaid
WV1068739OtherW VIRGINIA WORKERS COMP
PA216417OtherUPMC
WV1068739OtherW VIRGINIA WORKERS COMP