Shane R Oneill (NPI# 1477548113, PAC ID# 6103898754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1477548113 |
| PAC ID by PECOS | 6103898754 |
| Professional Enrollment ID | I20040812000811 |
| Full Name | Shane R Oneill |
| Organization Legal Name | PANACEA O'NEILL MEDICAL GROUP, INC |
| Address |
104 Spenryn Dr Madison AL 35758-1890 |
| Phone Number | 2567724300 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7315217247 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010039 | HUNTSVILLE HOSPITAL |
| 010131 | CRESTWOOD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 104 Spenryn Dr, Madison, AL 35758-1890 | 2567724300 | PANACEA O'NEILL MEDICAL GROUP, INC |
| Organization Legal Name | PANACEA O'NEILL MEDICAL GROUP, INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Blair Tidwell | Physician Assistant | Panacea O'neill Medical Group, Inc | 104 Spenryn Dr, Madison, AL 35758-1890 |
| Lindsey P. Guill | Physician Assistant | Panacea O'neill Medical Group, Inc | 104 Spenryn Dr, Madison, AL 35758-1890 |
| Patrick J Oneill | Family Medicine | Panacea O'neill Medical Group, Inc | 104 Spenryn Dr, Madison, AL 35758-1890 |
| Street Address |
104 SPENRYN DR |
| City | MADISON |
| State | AL |
| Zip | 35758-1890 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Blair Tidwell | Physician Assistant | Panacea O'neill Medical Group, Inc | 104 Spenryn Dr, Madison, AL 35758-1890 |
| Lindsey P. Guill | Physician Assistant | Panacea O'neill Medical Group, Inc | 104 Spenryn Dr, Madison, AL 35758-1890 |
| Patrick J Oneill | Family Medicine | Panacea O'neill Medical Group, Inc | 104 Spenryn Dr, Madison, AL 35758-1890 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Beck | Nurse Practitioner | American Family Care Inc | 7559 Hwy 72 W, Madison, AL 35758 |
| Deborah Kolb | Family Medicine | 8371 Hwy 72 W, Suite 200, Madison, AL 35758 | |
| Regina M Doody-lundy | Psychiatry | 708 Will Halseyway C, Madison, AL 35758 | |
| Kelly Vazquez | Nurse Practitioner | Huntsville Hospital Lung Center | 8371 Hwy 72 W, Suite 204, Madison, AL 35758 |
| Robert Andrew Serio | Pulmonary Disease | Huntsville Hospital Lung Center | 8371 Hwy 72 W, Suite 204, Madison, AL 35758 |
| Jeremy Tyler Johnson | Family Medicine | American Family Care Inc | 7559 Hwy 72 W, Madison, AL 35758 |
| Alicia Vasquez | Nurse Practitioner | Huntsville Hospital Lung Center | 8371 Hwy 72 W, Suite 204, Madison, AL 35758 |
| Brent H Ledford | Certified Registered Nurse Anesthetist (crna) | Huntsville Hospital Anesthesia | 8375 Hwy 72 W, Madison, AL 35758 |
| Charles K Mackenzie | Certified Registered Nurse Anesthetist (crna) | Huntsville Hospital Anesthesia | 8375 Hwy 72 W, Madison, AL 35758 |
| Sandra J Carmichael | General Practice | American Family Care Inc | 7559 Hwy 72 W, Madison, AL 35758 |
| Find all physicians in zip 35758 | |||
| City | MADISON |
| Zip Code | 35758 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MADISON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Shane R Oneill.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.