Provider Demographics
NPI:1477634046
Name:OKEEFE, SEAN CASEY (MD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:CASEY
Last Name:OKEEFE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3232 SQUALICUM PKWY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1932
Mailing Address - Country:US
Mailing Address - Phone:360-733-7687
Mailing Address - Fax:360-734-7687
Practice Address - Street 1:3232 SQUALICUM PKWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1932
Practice Address - Country:US
Practice Address - Phone:360-733-7687
Practice Address - Fax:360-734-7687
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WADM00040892208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8313330Medicaid
WAH61544Medicare UPIN
WA8313330Medicaid
WA8864659Medicare PIN