MEDICARE: MR. JAMES OKEEFFE M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	126053	NY

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	160012994	OTHER	NY	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	000416210002	OTHER	NY	BLUE SHIELD
3	040426007603	OTHER	NY	FIDELIS
4	15145	OTHER	NY	MVP
5	348851	OTHER	NY	BLUE CROSS
6	10002779	OTHER	NY	CDPHP
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1255334850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES OKEEFFE M.D.

Provider Business Mailing Address
First Line	:	45 HUDSON AVE
Second Line	:	PO BOX 144
City	:	GLENS FALLS
State	:	NY
Zip	:	12801-4313
Country	:	US
Telephone Number	:	518-793-4477
Fax Number	:	518-798-7541

Provider Business Practice Location Address
First Line	:	45 HUDSON AVE
Second Line	:
City	:	GLENS FALLS
State	:	NY
Zip	:	12801-4313
Country	:	US
Telephone Number	:	518-793-4477
Fax Number	:	518-798-7541

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/08/2007

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax: