Individual
STEPHEN J O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 EAST COUNTY LINE ROAD, SUITE 201, GREENWOOD, IN 46143-1071
(317) 865-8000
(317) 865-8012
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01054157A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010506
MDWISE/PROHEALTH
IN
01
—
000000197875
ANTHEM BLUE CROSS
IN
01
—
020050030
MEDICARE RAILROAD
IN
01
—
11046216
CAQH ID
IN
05
—
200345690A
—
IN
01
—
7098286
AETNA ELIGIBILITY ID
IN
01
—
P01157063
RR MEDICARE PTAN
IN
Enumeration date
07/05/2006
Last updated
04/14/2017
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