Provider Demographics
NPI:1134187339
Name:O'KEEFE, JAMES H JR (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:O'KEEFE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MAILSTOP 400S
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131
Mailing Address - Country:US
Mailing Address - Phone:816-502-7117
Mailing Address - Fax:816-932-9670
Practice Address - Street 1:4330 WORNALL RD
Practice Address - Street 2:SUITE 2000
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5939
Practice Address - Country:US
Practice Address - Phone:816-931-1883
Practice Address - Fax:816-756-3645
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR5H86207R00000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202571204Medicaid
KS100135620L - SLCCMedicaid
MOP00836128OtherRAILROAD MEDICARE
KS100135620EOtherMEDICAID - CUSHING
KSP00842626OtherRAILROAD MEDICARE
KS100135620M - SLCCMedicaid
KSKA1021038OtherMEDICARE - CUSHING
KSKA2004027Medicare PIN
KSKA1724027Medicare PIN
KSKA1021038OtherMEDICARE - CUSHING
MO202571204Medicaid