Active NPI
Gwenn S O'Keeffe, M.D.
- Pediatrics Physician
- Shrewsbury, MA
National Provider Identifier
1245201375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 205039
- Practice address
- 910 Boston Tpke Ste 3
Shrewsbury, MA 01545-3396 - Phone
- (617) 966-1260
- Fax
- (617) 762-1278
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 205039 | MA | Primary |
Addresses
Primary practice location
910 Boston Tpke Ste 3
Shrewsbury, MA 01545-3396
Mailing address
41 Deer Path
Hudson, MA 01749-2639
Phone (617) 803-0709
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0197742 | Medicaid | MA | |
| 205039 | Other | MA | TUFTS |
| J22828 | Other | MA | BLUE CROSS |
| AA26004 | Other | MA | HARVARD PILGRIM |
| 0020248 | Other | MA | NEIGHBORHOOD HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortica ABA Therapies PA | Past | Accepting new patients | |
| Springtide Child Development, Inc. | Past | Accepting new patients | |
| Cortica Developmental Therapies PA | Past | Accepting new patients |
Interoperability endpoints
- gwenn.okeeffe.1@14973.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Plano, TX
- NPI 1942888508
-
- Multi-Specialty Clinic/Center
- Plano, TX
- NPI 1619554680
-
- Behavior Analyst
- Trumbull, CT
- NPI 1396383568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1245201375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 DEER PATH",
"city": "HUDSON",
"state": "MA",
"postal_code": "017492639",
"telephone_number": "617-803-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 BOSTON TPKE STE 3",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015453396",
"telephone_number": "617-966-1260",
"fax_number": "617-762-1278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KEEFFE",
"first_name": "GWENN",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "205039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0197742",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "205039",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J22828",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA26004",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0020248",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.