Individual
MEGAN SUZANNE O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 UPPER RAGSDALE DR, SUITE B-200, MONTEREY, CA 93940-5736
(831) 375-6334
(831) 375-6331
Mailing address
2 UPPER RAGSDALE DR, SUITE B-200, MONTEREY, CA 93940-5736
(831) 375-6334
(831) 375-6331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001671
IA
363A00000X
Physician Assistant
085002580
IL
363A00000X
Physician Assistant
15-01137
KS
363AM0700X
Medical Physician Assistant
Primary
PA21197
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04233
IOWA BC/BS IN DAVENPORT
IA
01
—
109573
HEALTH ALLIANCE
IA
01
—
421060724
BILLING TAX ID# FOR CHC
IA
01
—
421060724B7
JOHN DEERE HEALTH
IA
01
—
5100918
CONTROLLED SUBSTANCEE #
IA
01
—
IA01B7
JOHN DEERE EDI#
IA
Enumeration date
01/12/2006
Last updated
03/07/2023
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