Basic Information
| Provider Information | |||||||||
| NPI: | 1437183886 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ONEILL | ||||||||
| FirstName: | DANIEL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 160 | ||||||||
| Address2: | |||||||||
| City: | LITTLETON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 035610160 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 12 YEATON RD | ||||||||
| Address2: | STE C4 | ||||||||
| City: | PLYMOUTH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032643457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035362270 | ||||||||
| FaxNumber: | 6035362277 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 01/15/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 8013 | NH | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0009958 | 05 | VT | MEDICAID | GRS001 | 01 | NH | OXFORD HEALTH | OTHER | 200023235 | 01 | NH | RAILROAD MEDICARE | OTHER | 612977900 | 01 | US DEPT LABOR | OTHER | 0105342Y0NH03 | 01 | NH | ANTHEM | OTHER | 30002835 | 05 | NH | MEDICAID |