Organization Active NPI

Keowee Family Urology

  • Durable Medical Equipment & Medical Supplies
  • Seneca, SC
National Provider Identifier
1245596519
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KEOWEE FAMILY UROLOGY
Practice address
107 Omni Dr
Suite a
Seneca, SC 29672-9448
Phone
(864) 885-7475
Fax
(864) 885-7476
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
OCONEE PHYSICIAN PRACTICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Bryan M. McCain
Title
Executive Director
Phone
(864) 885-7673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

107 Omni Dr
Suite a
Seneca, SC 29672-9448

Mailing address

PO Box 601082
Charlotte, NC 28260-1082
Phone (864) 885-7989

Other names 1

  • Keowee Family Urology DME Other name

National Provider Directory

National Provider Directory
Part of
Keowee Family Urology

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1245596519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601082",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601082",
            "telephone_number": "864-885-7989",
            "fax_number": "864-885-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OMNI DR",
            "address_2": "SUITE A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729448",
            "telephone_number": "864-885-7475",
            "fax_number": "864-885-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEOWEE FAMILY UROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCONEE PHYSICIAN PRACTICES",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "MCCAIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-885-7673"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keowee Family Urology DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.