UPSTATE PLASTIC SURGERY (NPI# 1013075712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013075712 |
| Entity Type | Organization |
| Organization Name | UPSTATE PLASTIC SURGERY |
| Practice Address |
301 The Parkway Greer SC 29650 |
| Practice Telephone | 8649680168 |
| Practice Fax Number | 8649689248 |
| Mailing Telephone | 8649680168 |
| Mailing Fax Number | 8649689248 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KEVIN M KELLER (PHY OWNER) |
| Authorized Official Telephone | 8649680168 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI KEVIN M KELLER MD | 1467569574 | 01 | |
| NPI ELIZABETH A ROTHMAN M | 1558475574 | 01 | |
| SC | 161372 | 05 | |
| NPI JAMES E LOVETT III MD | 1952419863 | 01 |
| Street Address |
301 THE PARKWAY |
| City | GREER |
| State | SC |
| Zip Code | 29650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558475574 | Elizabeth Rothman Blakemore | Plastic Surgery | 301 The Parkway, Greer, SC 29650 | 2006-08-18 |
| 1952419863 | James Emmett Lovett IIi | Plastic Surgery | 301 The Parkway, Greer, SC 29650 | 2006-08-29 |
| 1467569574 | Kevin Metz Keller | Plastic Surgery | 301 The Parkway, Greer, SC 29650 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992951883 | Manuel G Trujillo Jr. | Plastic Surgery | 2755 S Highway 14 Ste 2050, Greer, SC 29650-4933 | 2008-08-12 |
| 1558475574 | Elizabeth Rothman Blakemore | Plastic Surgery | 301 The Parkway, Greer, SC 29650 | 2006-08-18 |
| 1952419863 | James Emmett Lovett IIi | Plastic Surgery | 301 The Parkway, Greer, SC 29650 | 2006-08-29 |
| 1467569574 | Kevin Metz Keller | Plastic Surgery | 301 The Parkway, Greer, SC 29650 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574839 | Tarik Mujadzic | Plastic Surgery | Plastic Surgery, 2 Medical Park, Ste 300, Columbia, SC 29203 | 2019-05-28 |
| 1134462146 | Smith Plastic Surgery | Plastic Surgery | 16 Okatie Center Blvd S Ste 101, Okatie, SC 29909-7535 | 2013-03-28 |
| 1285980128 | Finger and Associates Plastic Surgery Center | Plastic Surgery | 71 Lighthouse Rd, Suite 613, Hilton Head, SC 29928-7216 | 2012-07-30 |
| 1386902435 | Emily Grace Clark | Plastic Surgery | 115 N Sumter St Ste 115, Sumter, SC 29150-4968 | 2012-04-26 |
| 1043502016 | Myles Goldflies | Plastic Surgery | 8212 Devon Ct, Myrtle Beach, SC 29572-4178 | 2011-05-10 |
| 1871883116 | Spartanburg Medical Center | Plastic Surgery | 2801 Woodruff Rd Ste 202, Simpsonville, SC 29681-4807 | 2011-04-07 |
| 1578872941 | Steven Jeffrey Goodman | Plastic Surgery | 1314 Hidden Lakes Dr, Mount Pleasant, SC 29464-9470 | 2010-10-01 |
| 1023245966 | Nirvana Plastic Surgery, P.a. | Plastic Surgery | 8208a Devon Ct, Myrtle Beach, SC 29572-4178 | 2009-06-18 |
| 1588803530 | Terrence Weston Bruner | Plastic Surgery | 7 Linwa Blvd, Anderson, SC 29621-4486 | 2009-02-16 |
| 1659541464 | Carolina Plastic Surgery and Laser Center, Pa | Plastic Surgery | 1721 Ebenezer Rd Ste 205, Rock Hill, SC 29732-1119 | 2008-03-07 |
| Find all providers with the same taxonomy | ||||
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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.