Kellar Surgical

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

KELLAR SURGICAL

Practice address

14 Glen Willow CT
Greer, SC 29650-2568

Phone

(954) 529-6843

NPI assigned

Feb 22, 2021

Last updated

Feb 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gabrielle Montevergine Kellar, CSFA

Title

Owner

Phone

(954) 529-6843

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1144814138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GLEN WILLOW CT",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502568",
            "telephone_number": "954-529-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GLEN WILLOW CT",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502568",
            "telephone_number": "954-529-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLAR SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "KELLAR",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "MONTEVERGINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-529-6843",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahul Kataria, M.D.
• Amy Kay
• Timothy Scott Kaylor, DPT, SCS
• Joshua C Keels, DC
• Derek T Kelkenberg
• Kevin Metz Keller, MD
• Ann J Kelly, M.D.
• Kemp Chiropractic Center, LLC
• Nina Richelle Kennedy, D.C.
• Jeremie Michael Kenney, FNP-C

• Surgical Physician Assistant in Greer, SC
• Providers in Greer, SC by specialty
• Surgical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.