Active NPI
James Okeeffe, M.D.
- Gynecology Physician
- Glens Falls, NY
National Provider Identifier
1255334850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 126053
- Practice address
- 45 Hudson Ave
Glens Falls, NY 12801-4313 - Phone
- (518) 793-4477
- Fax
- (518) 798-7541
- NPI assigned
- May 27, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 126053 | NY | Primary |
Addresses
Primary practice location
45 Hudson Ave
Glens Falls, NY 12801-4313
Mailing address
45 Hudson Ave
PO Box 144
Glens Falls, NY 12801-4313
Phone (518) 793-4477
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000416210002 | Other | NY | BLUE SHIELD |
| 160012994 | Other | NY | RAILROAD MEDICARE |
| 348851 | Other | NY | BLUE CROSS |
| 10002779 | Other | NY | CDPHP |
| 15145 | Other | NY | MVP |
| 040426007603 | Other | NY | FIDELIS |
| 00369104 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255334850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 HUDSON AVE",
"address_2": "PO BOX 144",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014313",
"telephone_number": "518-793-4477",
"fax_number": "518-798-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 HUDSON AVE",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014313",
"telephone_number": "518-793-4477",
"fax_number": "518-798-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEEFFE",
"first_name": "JAMES",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "126053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000416210002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160012994",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "348851",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10002779",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "15145",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426007603",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00369104",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.