Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE R O'NEIL, PA
Active Sole ProprietorSHANE R O'NEIL, PA is a Physician Assistant healthcare provider located in JOHNSON CITY, New York. NPI 1922350073 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JOHNSON CITY, NY
Registration Details
- NPI Number
- 1922350073
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2012 (13.827153748124 yrs)
- Last Updated
- Oct 9, 2025
- Licenses
-
016116 (NY)0010-08374 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
302 REYNOLDS RD STE AJOHNSON CITY, NY, 137901308Browse NY providers · Browse ZIP 13790
- Phone
- 6074445446
- Fax
- 6074445447
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in JOHNSON CITY, NY
| Name | Credential | NPI |
|---|---|---|
| MR. TIMOTHY D KEYES | PA | 1124025473 |
| ROSE M LAKIN | PA | 1639148984 |
| GREGORY J BRETZ | PA | 1467418939 |
| BETHLEHEM EMMONS-POST | RPA-C | 1285679332 |
| MRS. MARY L BARR | PA-C | 1033214002 |
| KIMBERLY S BELKE | PA. | 1528167251 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.