MR. JOHN JOSEPH O'KEEFE III (NPI# 1891790788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891790788 |
| Entity Type | Individual |
| Full Name | MR. JOHN JOSEPH O'KEEFE III |
| Credential | M.D. |
| Practice Address |
12818 Tesson Ferry Rd Ste 102 Saint Louis MO 63128-2945 |
| Practice Telephone | 3148495665 |
| Practice Fax Number | 3148490274 |
| Mailing Telephone | 3148495665 |
| Mailing Fax Number | 3148490274 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R7491 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 23276 | 01 | |
| MO | R7491 | 05 | |
| MO | RAILROAD MEDICARE | 130008428 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891833026 | John Freeman O'keefe | Dentist | 301 North Van Buren St., Marion, IL 62959 | 2007-02-01 |
| 1336212695 | John Thomas O'keefe IIi | Dentist | 115 S. Glover St., Twisp, WA 98856-0595 | 2006-11-16 |
| 1548604440 | John Joseph O'keefe Iv | Radiology | 3900 Reservoir Rd Nw, Washington, DC 20007-2126 | 2013-04-22 |
| 1073678942 | John J O'keefe | Orthopaedic Surgery | 4849 W Fullerton Ave, Chicago, IL 60639-2503 | 2006-12-22 |
| 1073576377 | John Stewart O'keefe | Ophthalmology | 8720 Stony Point Pkwy Ste 105, Richmond, VA 23235-1989 | 2006-04-08 |
| Street Address |
12818 TESSON FERRY RD STE 102 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750764866 | Jeffrey Calvin | Psychiatry & Neurology | 621 S New Ballas Rd Ste 6005b, Saint Louis, MO 63141-8273 | 2015-07-07 |
| 1871848853 | Michael David White | Psychiatry & Neurology | 4901 Forest Park Ave, 2nd Floor Medicine Clinic, Center for Outpatient Health, Saint Louis, MO 63108 | 2012-07-17 |
| 1811200983 | St Louis Neurology Associates Inc | Psychiatry & Neurology | 12810 Tesson Ferry Rd, Saint Louis, MO 63128-2913 | 2010-07-19 |
| 1144412339 | Gabriela Sales De Bruin | Psychiatry & Neurology | 212 N Kingshighway Blvd Ste 237, Ste 237, Saint Louis, MO 63108-1266 | 2007-08-13 |
| 1568501245 | Bennett David Frank | Psychiatry & Neurology | 969 N Mason Rd Ste 155, Saint Louis, MO 63141-6387 | 2007-02-06 |
| 1538253430 | J Mario V Alonso Jr Inc | Psychiatry & Neurology | 2716 Telegraph Rd, Suite 105, Saint Louis, MO 63125-4078 | 2006-10-03 |
| 1871511329 | John Carl Morris | Psychiatry & Neurology | 4488 Forest Park Ave Ste 160, Ste 160, Saint Louis, MO 63108-2215 | 2006-07-17 |
| 1154367282 | Brent Alan Huffman | Psychiatry & Neurology | 3009 N Ballas Rd Ste 102b, Saint Louis, MO 63131-2343 | 2006-06-20 |
| 1073555140 | Dante O Garrido | Psychiatry & Neurology | 12963 Walnutway Ter, Saint Louis, MO 63146-6047 | 2006-06-12 |
| 1902858251 | Annick Olga Weber | Psychiatry & Neurology | 20 Archbishop May Dr, Saint Louis, MO 63119-5738 | 2006-05-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on MR. JOHN JOSEPH O'KEEFE III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.