Upstate Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

UPSTATE PLASTIC SURGERY

Practice address

301 The Parkway
Greer, SC 29650

Phone

(864) 968-0168

Fax

(864) 968-9248

NPI assigned

Dec 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin M Keller, MD

Title

Phy Owner

Phone

(864) 968-0168

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Rothman Blakemore, MD

  • Plastic Surgery Physician
  • Greer, SC
  • NPI 1558475574
  Medicare reassignment Care Compare group NPD
• James Emmett Lovett III, MD

  • Plastic Surgery Physician
  • Greer, SC
  • NPI 1952419863
  Medicare reassignment Care Compare group NPD
• Tindal Wrenn McLaurin, MD

  • Plastic and Reconstructive Surgery Physician
  • Greer, SC
  • NPI 1982196762
  Medicare reassignment Care Compare group NPD
• Kevin Shultz, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Greer, SC
  • NPI 1083900724
  Medicare reassignment Care Compare group NPD
• Courtney Alexis Brown

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Greer, SC
  • NPI 1003638024
  NPD (past)
• Christina Fleshman Hamby, NP-C

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1912397621
  NPD (past)
• Haley Peek

  • Surgical Technologist
  • Greer, SC
  • NPI 1649092743
  NPD (past)
• Amber Romano, CST

  • Surgical Technologist
  • Greer, SC
  • NPI 1154144640
  NPD (past)
• Whitney Shehan

  • Surgical Technologist
  • Greer, SC
  • NPI 1255153359
  NPD (past)
• Erica Rachel Thacker, CST

  • Surgical Technologist
  • Greer, SC
  • NPI 1275325383
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013075712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 THE PARKWAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-968-0168",
            "fax_number": "864-968-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 THE PARKWAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-968-0168",
            "fax_number": "864-968-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHY OWNER",
        "authorized_official_telephone_number": "864-968-0168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI KEVIN M KELLER MD",
            "identifier": "1467569574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ELIZABETH A ROTHMAN M",
            "identifier": "1558475574",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161372",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JAMES E LOVETT III MD",
            "identifier": "1952419863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upstate Dermatology PA
• Upstate Medical Care, P.a.
• Upstate Medical Supply on Demand, LLC
• Upstate Nutrition Consultants, Inc.
• Upstate Pedorthic Services Inc.
• Upstate Podiatry Group, PA
• Upstate Speech and Language Services, LLC
• Upstate Spine & Joint, LLC.
• Upstate Spine & Wellness, LLC
• Upstate Spine & Wellness, LLC

• Plastic Surgery Physician in Greer, SC
• Providers in Greer, SC by specialty
• Plastic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.