SHAUN TERRANCE OKEEFE (NPI# 1023456456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023456456 |
| Entity Type | Individual |
| Full Name | SHAUN TERRANCE OKEEFE |
| Credential | PAC, MPAS |
| Practice Address |
5803 Neal Ave N Oak Park Heights MN 55082-2177 |
| Practice Telephone | 6514398807 |
| Practice Fax Number | 6514390232 |
| Mailing Telephone | 6514398807 |
| Mailing Fax Number | 6514390232 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 3131-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 11410 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5803 NEAL AVE N |
| City | OAK PARK HEIGHTS |
| State | MN |
| Zip Code | 55082-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761322 | David Hadley Palmer | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2005-06-27 |
| 1790230688 | Daniel B Stark | Physical Therapist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2016-08-20 |
| 1700232444 | Kelly Mcgough | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2016-05-12 |
| 1255798757 | Danielle M Stark | Occupational Therapist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2016-01-28 |
| 1134595978 | Tracy E Bunnell | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2015-08-17 |
| 1467839209 | Kirtley Grace Compton | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2015-04-30 |
| 1295138931 | Britta Lee Carlson | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-10-08 |
| 1548669955 | Wilfred Oakley Stout | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-08-21 |
| 1144633165 | Amy Hutter | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-06-06 |
| 1275946394 | Molly Augustine | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134595978 | Tracy E Bunnell | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2015-08-17 |
| 1467839209 | Kirtley Grace Compton | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2015-04-30 |
| 1255560553 | Katherine Anne Wolden | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2009-07-08 |
| 1902066384 | Abigale E Gabrick | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, Oak Park Heights, MN 55082-2177 | 2008-06-10 |
| 1548371826 | Chad David Hemminger | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2006-08-31 |
| 1407833742 | Kate T Erickson | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | OAK PARK HEIGHTS |
| Zip Code | 55082 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.