JERRY W O'NEAL


Address: 40 Lanneau Dr, Suite 2a, 1990 Augusta Street, Greenville, SC 29605-1708
Phone: 8642323307

JERRY W O'NEAL (NPI# 1679712137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679712137
Entity Type Individual
Full Name JERRY W O'NEAL
Practice Address 40 Lanneau Dr
Suite 2a, 1990 Augusta Street
Greenville
SC 29605-1708
Mailing Address 1990 Augusta St Ste 2a
Greenville
SC 29605-2997
Practice Telephone 8642323307
Practice Fax Number 8642323308
Mailing Telephone 8642323307
Mailing Fax Number 8642323308
Enumeration Date 2009-02-06
Last Update Date 2009-04-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Office Location

Street Address 40 LANNEAU DR
SUITE 2A, 1990 AUGUSTA STREET
City GREENVILLE
State SC
Zip Code 29605-1708

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1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
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1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891301156 Tys Cranial Prothesis Prosthetic/Orthotic Supplier 2400 S Memorial Dr Ste 3b, Greenville, NC 27834-5031 2020-09-21
1578178026 Teter Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 106 S Greenville West Dr Ste 3, Greenville, MI 48838-3504 2020-09-11
1770913204 Pro Foot Solutions, LLC Prosthetic/Orthotic Supplier 403 Cedar Pines Dr, Greenville, SC 29615-6242 2013-11-19
1598006108 For Every Woman, LLC Prosthetic/Orthotic Supplier 90 Orchard Park Dr, Greenville, SC 29615-3567 2013-03-06
1881953198 New Hope Prosthetics & Orthodics Inc Prosthetic/Orthotic Supplier 585 Tennessee Gas Rd, Greenville, MS 38701 2012-05-07
1306091319 Rick F Gagliano Prosthetic/Orthotic Supplier 2500 West 5th Street, Carolina Ortho Prosthetics Inc, Greenville, NC 27834-7812 2008-11-19
1285890574 Anderson Prosthetics & Orthotics LLC Prosthetic/Orthotic Supplier 440 Roper Mt Rd, Suite G-2, Greenville, SC 29615-4242 2008-08-06
1609094598 David F Collins Prosthetic/Orthotic Supplier 657 S Memorial Dr, Greenville, NC 27834-2856 2007-04-23
1629120688 Amgf Inc Prosthetic/Orthotic Supplier 940 Grove Rd # A, Greenville, SC 29605-4215 2007-01-18
1174544704 Greenville Orthotics and Prosthetics, LLC Prosthetic/Orthotic Supplier 135 Commonwealth Dr Ste 250, Greenville, SC 29615-4850 2006-07-21
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City GREENVILLE
Zip Code 29605

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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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