Shane Damien O'Keeffe, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

43021 Issued in KY

Practice address

350 Park St
Suite 210
Bowling Green, KY 42101-1784

Phone

(270) 796-3330

Fax

(270) 796-3338

NPI assigned

Nov 14, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Vascular SurgeryAlso: General Surgery

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians

Bowling Green-Warren County Community Hospital CorporationGroup PAC ID 7719899947, 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013
• T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
• The Medical Center at Franklin Hospital, Franklin, KY, CCN 181318
• Tristar Greenview Regional Hospital Hospital, Bowling Green, KY, CCN 180124
• Caverna Memorial Hospital Hospital, Horse Cave, KY, CCN 181314

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (6 of 10)

Locations

Networks

• KY PPO C-SNP
• TN PPO C-SNP
• TN PPO
• KY PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Commonwealth Health Corporation, Inc

  • Neurology Physician
  • Bowling Green, KY
  • NPI 1881109304
  Medicare reassignment Care Compare group NPD
• Bowling Green-Warren County Community Hospital Corporation

  • Neurology Physician
  • Bowling Green, KY
  • NPI 1942990767
  Medicare reassignment Care Compare group
• Bowling Green-Warren County Community Hospital Corporation

  • Surgery Physician
  • Bowling Green, KY
  • NPI 1154196137
  NPD
• Bowling Green-Warren County Community Hospital Corporation

  • Hematology & Oncology Physician
  • Bowling Green, KY
  • NPI 1891652343
  NPD
• Commonwealth Health Corporation, Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bowling Green, KY
  • NPI 1962432187
  NPD
• Commonwealth Health Corporation, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Bowling Green, KY
  • NPI 1104470699
  NPD
• Commonwealth Health Corporation

  • Family Medicine Physician
  • Scottsville, KY
  • NPI 1508899089
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bowling Green-Warren County Community Hospital Corporation

  • General Acute Care Hospital
  • Bowling Green, KY
  • NPI 1043293608
  Care Compare affiliation
• Bowling Green-Warren County Community Hospital Corporation

  • Critical Access Hospital
  • Horse Cave, KY
  • NPI 1356716575
  Care Compare affiliation
• Bowling Green-Warren County Community Hospital Corporation

  • Critical Access Hospital
  • Franklin, KY
  • NPI 1831173467
  Care Compare affiliation
• Greenview Hospital, Inc.

  • General Acute Care Hospital
  • Bowling Green, KY
  • NPI 1871547703
  Care Compare affiliation
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  Hospital

  Care Compare affiliation
• T J Samson Community Hospital

  • General Acute Care Hospital
  • Glasgow, KY
  • NPI 1770581894
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1003060294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2697",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421027697",
            "telephone_number": "270-796-3330",
            "fax_number": "270-796-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARK ST",
            "address_2": "SUITE 210",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011784",
            "telephone_number": "270-796-3330",
            "fax_number": "270-796-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFFE",
        "first_name": "SHANE",
        "middle_name": "DAMIEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-14",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "43021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000779824",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100143600",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "43021",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nurtured Counseling
• Elizabeth Nushart
• Nutrition Coaching With Emilie
• Onyeoziri Raphael Nwanguma, M.D.
• Dennis Michael O'Keefe, M.D.
• Oak Haven Psychiatry, LLC
• Oak Tree Eye Clinic 2, Inc
• Janie Oaks
• Meredith Paige Oaks
• Oasis Counseling Inc

• Vascular Surgery Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Vascular Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.