Kevin O'neal
Internal Medicine (Pulmonary Disease)

Address: 5401 N Portland Ave Ste 390, Oklahoma City, OK 73112-2082
Phone: 4056044577

Kevin O'neal (NPI# 1548394752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1548394752
Entity Type Individual
Full Name Kevin O'neal
Credential D.O.
Gender Male
Practice Address 5401 N Portland Ave Ste 390
Oklahoma City
OK 73112-2082
Practice Telephone 4056044577
Practice Fax Number 4056044578
Mailing Address 5300 N Independence Ave Ste 280
Oklahoma City
OK 73112-5555
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-03-16
Last Update Date 2018-10-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RP1001X Internal Medicine · Pulmonary Disease Allopathic & Osteopathic Physicians 4544 OK

Other Provider Identifier

State Identifier Issuer Type Code
OK 200528200A MEDICAID

Other Providers KEVIN O'NEAL

NPI Name Taxonomy Address Enumeration
1780034686 Kevin O'neal Counselor 5925 Greenwell Springs Rd, Baton Rouge, LA 70806-1620 2016-06-21

Physician Overview

NPI 1548394752
PAC ID by PECOS 0941466221
Professional Enrollment ID I20120801000286
Full Name Kevin S Oneal
Organization Legal Name DEACONESS PHYSICIAN SERVICES LLC
Phone Number 4056044210
Gender M
Medical School OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY
Graduation Year 2006
Primary Specialty PULMONARY DISEASE
Secondary Specialties CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Group Practice PAC ID 0840232070
Number of Group Practice Members 21
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370032 ALLIANCEHEALTH DEACONESS
370002 ALLIANCEHEALTH WOODWARD
370029 ALLIANCEHEALTH CLINTON
370006 PONCA CITY MEDICAL CENTER

Office Location

Street Address 5401 N PORTLAND AVE STE 390
City OKLAHOMA CITY
State OK
Zip Code 73112-2082

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235235094 David G Wade Dpm Podiatrist 5401 N Portland Ave Ste 390, Oklahoma City, OK 73112-2082 2006-09-16
1649310764 Seth Michael Gregory Internal Medicine 5401 N Portland Ave Ste 390, Oklahoma City, OK 73112-2082 2007-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336627223 Thomas Tedford Cook Nurse Practitioner 5700 N Portland, Ste 101, Oklahoma City, OK 73112 2018-08-01
1801380159 Crysten Cheatwood Do, PC Obstetrics & Gynecology 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 2018-06-20
1841707387 Katie Pankowsky Nurse Practitioner 4121 Nw 58th St, Oklahoma City, OK 73112 2018-01-05
1306352521 Victoria Ann Kappel Thoracic Surgery (Cardiothoracic Vascular Surgery) 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 2017-12-26
1376052944 Northside Psychiatry Pllc Nurse Practitioner 2301 W I 44 Service Rd Ste 300, Oklahoma City, OK 73112 2017-09-26
1871014886 Tanesia Michelle Smith Case Management 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 2017-06-29
1619414257 Edwige Gwanyama Student in an Organized Health Care Education/Training Program 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 2017-01-20
1619424017 Jennifer Beaver Peer Specialist 2808 Nw 31st, Oklahoma City, OK 73112 2016-09-02
1417305368 Gabriel Plank Counselor 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 2016-06-01
1912364365 Sams East Inc Durable Medical Equipment & Medical Supplies 4101 N May Ave, Oklahoma City, OK 73112 2016-01-15
Find all providers in zip 73112

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497160600 Samih Hussein Raad Internal Medicine 800 Stanton L Young Blvd # 8400, Oklahoma City, OK 73104-5018 2014-06-25
1689966103 Anthony Xavier Troitino Internal Medicine 3366 Nw Expressway Ste 650, Oklahoma City, OK 73112-4490 2011-05-03
1164654117 Viral K Doshi Internal Medicine 13313 N Meridian Ave Ste D, Oklahoma City, OK 73120-8316 2009-08-10
1427222561 Omar Nehme Internal Medicine 13313 N Meridian Ave Bldg D, Oklahoma City, OK 73120-8380 2008-04-18
1326235409 Najwa A Bahu-baugh M D P C Internal Medicine 4140 W Memorial Rd Ste 421, Oklahoma City, OK 73120-8300 2007-10-02
1255419115 Mohammad I Paracha Internal Medicine 4221 S Western Ave Ste 2045, Oklahoma City, OK 73109-3445 2006-11-01
1922064542 Norman Kerr Imes Internal Medicine 3613 Nw 56 Ste 150, Oklahoma City, OK 73112-4506 2006-04-22
1780651315 Stacey Lyn Foshee Internal Medicine 3048 Sw 89th St Ste B, Oklahoma City, OK 73159-6359 2006-03-02
1639164163 Timothy L Grode Internal Medicine 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 2005-09-12
1568838696 Allen Medical, Pllc Internal Medicine 1226 N Shartel Ave, Ste 100, Oklahoma City, OK 73103-2421 2015-08-12
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73112

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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