KEEM SPINE INSTITUTE, P.C (NPI# 1487799771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487799771 |
| Entity Type | Organization |
| Organization Name | KEEM SPINE INSTITUTE, P.C |
| Practice Address |
753 Old Norcross Rd Suite B Lawrenceville GA 30046-4312 |
| Practice Telephone | 7702779222 |
| Practice Fax Number | 7708170186 |
| Mailing Telephone | 7702779222 |
| Mailing Fax Number | 7708170186 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | DR. SEAN K KEEM (PRESIDENT) |
| Authorized Official Telephone | 7702779222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 49239 | GA | Other Service Providers |
| Street Address |
753 OLD NORCROSS RD SUITE B |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704429 | Don William Penney | Neurological Surgery | 753 Old Norcross Rd, Ste A, Lawrenceville, GA 30046-4312 | 2006-11-08 |
| 1174755300 | Michael D Schulman | Chiropractor | 753 Old Norcross Rd, Lawrenceville, GA 30046 | 2009-08-21 |
| 1407988702 | Gwinnett Neurosurgical, PC | Neurological Surgery | 753 Old Norcross Rd, Suite A, Lawrenceville, GA 30045-4312 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184048209 | Daniel Long | Specialist | 233 Moorland Way, Lawrenceville, GA 30043 | 2014-02-10 |
| 1396188876 | East Metro Primary Care | Specialist | 325 Lester Rd Nw, Suite C, Lawrenceville, GA 30044-4024 | 2013-04-15 |
| 1861710998 | Georgia Quality Kidney Care, LLC | Specialist | 170 Camden Hill Road, Suite F, Lawrenceville, GA 30046 | 2010-05-13 |
| 1508005141 | Bobby Walker | Specialist | 450 Sweet Ivy Ln, Lawrenceville, GA 30043-3068 | 2009-02-05 |
| 1023265873 | Accurate Medical Diagnostics, LLC | Specialist | 1498 Dulwich Ct, Lawrenceville, GA 30043-7535 | 2008-08-23 |
| 1265604896 | Gwinnett Sportherapy | Specialist | 965 Oakland Rd Ste 2c, Lawrenceville, GA 30044-3758 | 2008-03-24 |
| 1437270923 | Crelvis, Inc. | Specialist | 271-a S Culver St, Lawrenceville, GA 30045-4805 | 2007-04-02 |
| 1982747465 | Dana Lynn Prater | Specialist | 386 Windsor Farms Dr, Lawrenceville, GA 30045-6068 | 2007-02-15 |
| 1083770655 | John Martin Tilley | Specialist | 801 Bolling Cv, Lawrenceville, GA 30045-2430 | 2006-12-28 |
| 1265509376 | Jennie Nichole Stokes | Specialist | 1688 Lawrenceville Hwy, Lawrenceville, GA 30044-4608 | 2006-11-30 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on KEEM SPINE INSTITUTE, P.C.
| 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.