Provider Demographics
NPI:1013078880
Name:O'KEEFE, JULIE (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 PRINCE FREDERICK BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-3492
Mailing Address - Country:US
Mailing Address - Phone:410-535-2005
Mailing Address - Fax:410-535-4850
Practice Address - Street 1:985 PRINCE FREDERICK BLVD STE 201
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3492
Practice Address - Country:US
Practice Address - Phone:410-535-2005
Practice Address - Fax:410-535-4850
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD52192207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4461101OtherAETNA NON HMO PCP
MD450892OtherOPTIMUM CH MDIPA SPECIAL
MD54587601OtherCAREFIRST MD SPECIALIST
MD54587602OtherCAREFIRST MD PCP
DCC0410022OtherCAREFIRST OF DC
MD850892OtherOPTIMUM CH MDIPA PCP
MD2148224OtherAETNA HMO PCP
MD2154481OtherAETNA HMO SPECIALIST
MD325477100Medicaid
MD110146724OtherRAILROAD MEDICARE
MD7720001OtherAETNA NON HMO SPECIALIST
MD022L909TMedicare ID - Type UnspecifiedMEDICARE NUMBER
MD2154481OtherAETNA HMO SPECIALIST