Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan O'Neal, PA-C

Individual provider Physician Assistant · NPI 1750306007

Ryan O'Neal, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2002, 24 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Nebraska and Virginia.

Years since qualifying
24
Licensed in
CO, NE, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2767 Janitell Rd
Colorado Springs, CO 80906-4102
Phone: (719) 365-2888
Fax: (719) 365-1577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 — (757) 594-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0004596 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 0110002096 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 1030 (NE)

Record details

NPI number1750306007
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESDecember 23, 2022
Certification dateDecember 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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