Provider Demographics
NPI:1275747933
Name:CAREFREE FAMILY MEDICINE
Entity Type:Organization
Organization Name:CAREFREE FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF COMPANY/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:O'KEEFFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-572-5005
Mailing Address - Street 1:9320 GRAND CORDERA PARKWAY, SUITE 235
Mailing Address - Street 2:CAREFREE FAMILY MEDICINE
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924
Mailing Address - Country:US
Mailing Address - Phone:719-572-5005
Mailing Address - Fax:719-572-5551
Practice Address - Street 1:9320 GRAND CORDERA PARKWAY, SUITE 235
Practice Address - Street 2:CAREFREE FAMILY MEDICINE
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80924
Practice Address - Country:US
Practice Address - Phone:719-572-5005
Practice Address - Fax:719-572-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01303296Medicaid
CO01319755Medicaid
COE86635Medicare UPIN
COF42813Medicare UPIN
CO01319755Medicaid
CO493868Medicare ID - Type UnspecifiedJOHN O'KEEFFE