Paul Keane

Primary specialty

PodiatristTaxonomy code 213E00000X

License

57 Issued in SC

Legal business name

PAUL KEANE

Practice address

1855 E Main St
Ste 14, TMB 151
Spartanburg, SC 29307-2309

Phone

(252) 985-1371

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Paul J Keane, DPM

Title

Podiatrist

Phone

(252) 985-1371

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1245355890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 7396",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278044837",
            "telephone_number": "252-985-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E MAIN ST",
            "address_2": "STE 14, TMB 151",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072309",
            "telephone_number": "252-985-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL KEANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "KEANE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "252-985-1371",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001P",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00351117",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Johnston Patrick Jr., DPM
• Lauren Dawn Patterson, NP
• Ohnyale Patterson, BS
• Jennifer Mitchell Patton, CRNA
• Nicollette Leigh Pauksta, BSN, RN, CRNA
• Deann Lynn Payne, PSYD
• Eloise W Pea
• Peach Valley Pharmacy LLC
• Peach Valley Pharmacy, Inc.
• Peach Valley Pharmacy, Inc.

• Podiatrist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.