Siobhan O'Keefe, MB,BCH,BAO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

13001 E. 17TH Place
University of Colorado Gme
Aurora, CO 80045-2581

Phone

(303) 724-2393

Fax

(720) 777-7324

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Dr. Siobhan O'Connor Former name

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1457575011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 E. 17TH PLACE",
            "address_2": "UNIVERSITY OF COLORADO GME",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452581",
            "telephone_number": "303-724-2393",
            "fax_number": "720-777-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 E. 17TH PLACE",
            "address_2": "UNIVERSITY OF COLORADO GME",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452581",
            "telephone_number": "303-724-2393",
            "fax_number": "720-777-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "SIOBHAN",
        "name_prefix": "Dr.",
        "credential": "MB,BCH,BAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-00442",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2010-00442",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915309",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "1589U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIOBHAN",
            "last_name": "O'CONNOR",
            "prefix": "DR.",
            "credential": "MB, BCH, BAO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly L. O'Hara, M.D.
• Mary C O'Hara, LCSW
• Dana O'Keefe, B.S, CAC II
• Maureen O'Keefe, LCSW, MSW
• Neil John O'Keefe IV, MD
• Daniel O'Leary, CSA
• Jennifer O'Leary, APN
• Ryan O'Leary, M.D.
• Sean O'Leary, MD
• Shane Matthew O'Malley, DPT

• Student in an Organized Health Care Education/Training Program in Aurora, CO
• Providers in Aurora, CO by specialty
• Student in an Organized Health Care Education/Training Program in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.