PAUL KEANE (NPI# 1245355890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245355890 |
| Entity Type | Organization |
| Organization Name | PAUL KEANE |
| Practice Address |
1855 E Main St Ste 14, Tmb 151 Spartanburg SC 29307-2309 |
| Mailing Address |
P O Box 7396 Rocky Mount NC 27804-4837 |
| Practice Telephone | 2529851371 |
| Mailing Telephone | 2529851371 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | PAUL J KEANE (PODIATRIST) |
| Authorized Official Telephone | 2529851371 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 57 | SC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE | P00351117 | 01 |
| SC | 00001P | 05 |
| Street Address |
1855 E MAIN ST STE 14, TMB 151 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922162486 | Phyllis H Kelly | Technician/Technologist | 1855 E Main St, Spartanburg, SC 29307-2309 | 2006-12-20 |
| 1750712899 | Bella Vision, LLC | Optometrist | 1855 E Main St, Suite 12, Spartanburg, SC 29307-2309 | 2013-11-27 |
| 1598998908 | Janet Monaco Wilson | Optometrist | 1855 E Main St, Suite 12, Spartanburg, SC 29307-2309 | 2009-09-01 |
| 1255502803 | Thomas Opticians Inc | Eyewear Supplier (Equipment, not the service) | 1855 E Main St, Spartanburg, SC 29307-2309 | 2008-03-21 |
| 1295850824 | Stephen Buck | Optometrist | 1855 E Main St, Ste 14, Tmb 151, Spartanburg, SC 29307-2309 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649617499 | Tj Patrick Jr Dpm LLC | Podiatrist | 121 Gillette Ct, Spartanburg, SC 29302-3672 | 2013-06-03 |
| 1992726319 | Thomas Johnston Patrick Jr. | Podiatrist | 184 Oakland Ave, Spartanburg, SC 29302-1669 | 2006-07-21 |
| 1225065931 | Henry Arthur Mcaninch Jr. | Podiatrist | 184 Oakland Avenue, Spartanburg, SC 29302-1669 | 2006-06-27 |
| 1104028810 | Carolina Foot Care LLC | Podiatrist | 1399 John B White Sr Blvd, Spartanburg, SC 29306-3911 | 2007-06-04 |
| 1710002357 | Thomas Patrick | Podiatrist | 184 Oakland Ave, Spartanburg, SC 29302-1669 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331132 | Emad Youssef Dpm LLC | Podiatrist | 218 Granito Dr, Greer, SC 29650-2771 | 2020-09-16 |
| 1922618016 | Dr. Ashley Williams, LLC | Podiatrist | 3223 Hatchet Bay Dr Apt 7203, Charleston, SC 29414-5219 | 2020-08-04 |
| 1700424769 | Instride Foot & Ankle Specialists, Pllc | Podiatrist | 223 Herlong Ave S Ste 115, Rock Hill, SC 29732-1089 | 2019-12-20 |
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1467989632 | Frederick Garland | Podiatrist | 767 Wintercreeper Dr, Longs, SC 29568-9229 | 2017-05-17 |
| 1245764430 | Aiken Podiatry Center | Podiatrist | 148 Waterloo St Sw Ste 4, Aiken, SC 29801-3766 | 2017-04-14 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1063829471 | Heather Driessen, Dpm, LLC | Podiatrist | 4072 Corner Stroll Ln, Aiken, SC 29801-1158 | 2014-07-17 |
| 1164855227 | Coastal Medical Services LLC | Podiatrist | 616 Churchill Rd, Walterboro, SC 29488-3622 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
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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.