Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D52192 | MD |
NPI | 1013078880 |
---|---|
Provider Name | Julie O'keefe |
First Address | Prince Frederick, MD 20678-3492 |
Second Address | Prince Frederick, MD 20678-3492 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 19/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110146724 | RAILROAD MEDICARE (01) | MD |
2148224 | AETNA HMO PCP (01) | MD |
2154481 | AETNA HMO SPECIALIST (01) | MD |
325477100 | (05) | MD |
4461101 | AETNA NON HMO PCP (01) | MD |
450892 | OPTIMUM CH MDIPA SPECIAL (01) | MD |
54587601 | CAREFIRST MD SPECIALIST (01) | MD |
54587602 | CAREFIRST MD PCP (01) | MD |
7720001 | AETNA NON HMO SPECIALIST (01) | MD |
850892 | OPTIMUM CH MDIPA PCP (01) | MD |
C0410022 | CAREFIRST OF DC (01) | DC |
G09364 | (02) | MD |