Individual provider Active NPI

Joann A Okeefe, MD

  • Gastroenterology Physician
  • Morgantown, WV
National Provider Identifier
1881778611
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
13072 Issued in WV
Practice address
1000 Mon Health Medical Park Dr Ste 1101
Morgantown, WV 26505-1143
Phone
(304) 598-2700
Fax
(304) 598-2725
NPI assigned
Oct 25, 2006
Last updated
Dec 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 13072 WV Primary

Addresses

Primary practice location

1000 Mon Health Medical Park Dr Ste 1101
Morgantown, WV 26505-1143

Mailing address

1000 Mon Health Medical Park Dr Ste 1101
Morgantown, WV 26505-1143
Phone (304) 598-2700

Other identifiers 2

IdentifierTypeStateIssuer
0088036000MedicaidWV
001719248OtherWVBCBS

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

State licenses

LicenseStateTypeSpecialty
13072WVMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morgantown Internal Medicine Group Inc Current Accepting new patients

Locations

300 Wedgewood Dr
Morgantown, WV 26505
Phone (304) 599-8802

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1881778611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1101",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-598-2700",
            "fax_number": "304-598-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1101",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-598-2700",
            "fax_number": "304-598-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEEFE",
        "first_name": "JOANN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "13072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088036000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001719248",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.