Provider Demographics
NPI:1912930694
Name:WILLIAM P ONEILL MD PC
Entity Type:Organization
Organization Name:WILLIAM P ONEILL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:ONEILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-998-7411
Mailing Address - Street 1:10869 N SCOTTSDALE RD
Mailing Address - Street 2:#103-161
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254
Mailing Address - Country:US
Mailing Address - Phone:480-998-7411
Mailing Address - Fax:
Practice Address - Street 1:10869 N SCOTTSDALE RD
Practice Address - Street 2:#103-161
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254
Practice Address - Country:US
Practice Address - Phone:480-998-7411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10398207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D44333AMedicare UPIN