Active NPI
John Jacob Keyser, MD, MBA
- Plastic and Reconstructive Surgery Physician
- Okatie, SC
National Provider Identifier
1366788580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 3817
- Practice address
- 4094 Spring Is
Okatie, SC 29909-4053 - Phone
- (843) 987-0616
- Fax
- (843) 987-3773
- NPI assigned
- Dec 15, 2012
- Last updated
- Dec 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 3817 | HI | Primary |
Addresses
Primary practice location
4094 Spring Is
Okatie, SC 29909-4053
Mailing address
4094 Spring Is
Okatie, SC 29909-4053
Phone (843) 987-0616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3817 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355529600000",
"number": "1366788580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4094 SPRING IS",
"city": "OKATIE",
"state": "SC",
"postal_code": "299094053",
"telephone_number": "843-987-0616",
"fax_number": "843-987-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4094 SPRING IS",
"city": "OKATIE",
"state": "SC",
"postal_code": "299094053",
"telephone_number": "843-987-0616",
"fax_number": "843-987-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYSER",
"first_name": "JOHN",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "MD, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-15",
"last_updated": "2012-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "HI",
"license": "3817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okatie, SC
- Caryss Molly Jamison
- Jeffery M Reuben, MD PA (Spine Institute of the Carolinas)
- Jeffery M. Reuben, MD PA (Spine Institute of the Carolinas)
- Scott Anthony Kathmann, DPT, STC
- Kelly O'Leary Kazmierski, MD
- Veronica Kilpatrick, PHARMD
- Grace E. Kim, DMD
- Ashley Kuipers, DO
- William Edward Kyle, DO
- Kathryn Grace Lambert, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.