MARK K KEOHANE (M.D.) – Orthopaedic Surgery Physician, NPI 1710980750

Orthopaedic Surgery Physician

MARK K KEOHANE (M.D.) is a healthcare provider. based in O fallon, Missouri. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 34653 (MO). The NPI Number for MARK K KEOHANE (M.D.) is 1710980750

Main info

Male

55 Years Of Experience

Accepts Medicare Assignment

Name

MARK K KEOHANE (M.D.)

NPI

1710980750

Phone

(636) 561-5030

Address

9323 PHOENIX VILLAGE PKWY

Enumeration Date

23 May 2005

Last Update Date

1 March 2012

Doctor Profile

Medical School Name

SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

5737171072

Graduation Year

1971 (55 years ago)

PAC ID

9931179769

Group Practice PAC ID

5698773539

Professional Enrollment ID

I20100310000651

Address ID

MO638511617HA223XXSTXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:21State licenses:1Digital endpointsOther names

802 ORTHOPEDIC SURGERY in MO

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Provider Addresses for MARK K KEOHANE (M.D.)

BJC Medical Group Orthopedics and Sports Medicine at O'Fallon, 9323, Phoenix Village Parkway, Estates at Bayhill Village, O’Fallon, Saint Charles County, Missouri, 63368, United States
O FALLON, MO 633664281
Phone: (636) 561-5030
Fax: (636) 561-5033
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63366)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5698773539View full group profile

Name	Specialty	State
KERRI LYNCH (MSN, FNP-BC)	Nurse Practitioner	MO
CANDACE SIPES (NP)	Nurse Practitioner	MO
KAYLA LEANN FULLER (MSN, APRN, FNP-BC)	Nurse Practitioner	MO
DR. GABRIEL JR. CARDENAS (D.P.M.)	P O D I A T R Y	MO
CRYSTAL JOY DYER (FNP-C)	Nurse Practitioner	MO
MRS. CONNIE LYNNE GURLEY (APRN-BC, FNP)	Nurse Practitioner	MO
RACHELLE CHIAROTTINO	Nurse Practitioner	MO
MRS. JORDAN BROTZ (FNP)	Nurse Practitioner	MO
CRYSTAL GAIL JACKSON (FNP)	Nurse Practitioner	AR
KOURTNEY HALFORD	Nurse Practitioner	MO

Reviews

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Frequently asked questions

What NPI should I save for MARK K KEOHANE (M.D.)?

Save NPI 1710980750 if you need a stable reference for MARK K KEOHANE (M.D.).

Is MARK K KEOHANE (M.D.) currently active in the NPI registry?

CMS-published data lists MARK K KEOHANE (M.D.) as an active registrant.

Can you summarize MARK K KEOHANE (M.D.)'s specialty in plain language?

Clinically, the directory lists MARK K KEOHANE (M.D.) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.

What location shows for MARK K KEOHANE (M.D.)?

We surface O Fallon, Missouri for MARK K KEOHANE (M.D.) based on available NPPES addresses.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.

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