Individual provider · Type 1 NPI

Shane R. O'Neil, PA

Physician Assistant · Johnson City, NY

NPI number 1922350073 Active

Practice location

302 Reynolds Rd Ste A
Johnson City, NY 13790-1308

Fax (607) 444-5447

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	016116 (NY)
Physician Assistant	363A00000X	0010-08374 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1922350073

Shane R. O'Neil, PA's National Provider Identifier is 1922350073, issued on Oct 12, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Johnson City, NY. The record was last updated on Oct 9, 2025.