Individual
JOHANNA R O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18181 PEARL RD, B206, STRONGSVILLE, OH 44136-6949
(440) 816-4930
Mailing address
PO BOX 638269, CINCINNATI, OH 45263-8269
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-07-2272-O
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160047546
RAILROAD MEDICARE
OH
05
—
2167864
—
OH
Enumeration date
11/23/2005
Last updated
01/19/2021
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