Jerald Drew O'Neal in Newport News - Specialist

Jerald Drew O'Neal - NPI 1114941002

Jerald Drew O'Neal is a Specialist in Newport News, Virginia. Jerald Drew O'Neal practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jerald Drew O'Neal is 1114941002. The last update date is 2023-03-07.

Jerald Drew O'Neal's current location address is 704 Thimble Shoals Blvd, Newport News, Virginia. You can contact this provider via phone number 7578732000 and fax number 7578732003. The mailing address for Jerald Drew O'Neal is 704 Thimble Shoals Blvd, Newport News, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerald Drew O'Neal
Address 704 Thimble Shoals Blvd, Newport News, Virginia
Phone Number 7578732000
Fax Number 7578732003
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114941002
Provider Enumeration Date 2006-07-26
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 704 Thimble Shoals Blvd
City Newport News
State Virginia (VA)
Post Code 236064544
Phone Number 7578732000
Fax Number 7578732003

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 101034725
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
66033 VA OPTIMA
5655862 VA --
101034725 VA MEDICAL LICENSE
45456 VA HEALTHKEEPERS
80012050 VA RR MEDICARE
45456 VA BCBS

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FAQs about Jerald Drew O'Neal

What is the unique provider identifier assigned to Jerald Drew O'Neal?

The Jerald Drew O'Neal has been issued the NPI (National Provider Identifier) 1114941002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Jerald Drew O'Neal?

The Jerald Drew O'Neal is situated at 704 Thimble Shoals Blvd, in the city of Newport News, state of VA, with the zip code 236064544.

What is Jerald Drew O'Neal's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jerald Drew O'Neal's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date was the 1114941002 assigned to Jerald Drew O'Neal?

The Jerald Drew O'Neal was issued its 1114941002 on 2006-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jerald Drew O'Neal most recently updated or revised?

The details related to Jerald Drew O'Neal, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.

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