Individual provider Active NPI

Mark Robert Keaton, M.D.

  • Hematology & Oncology Physician
  • Florence, SC
National Provider Identifier
1477530533
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
51420 Issued in SC
Practice address
805 Pamplico Hwy Ste 315
Florence, SC 29505-6047
Phone
(843) 674-6460
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 51420 SC Primary
Hematology & Oncology Physician 207RH0003X 028423 GA

Addresses

Primary practice location

805 Pamplico Hwy Ste 315
Florence, SC 29505-6047

Mailing address

PO Box 603898
Charlotte, NC 28260-3898
Phone (843) 792-6200

Other practice location 1

450 Society Hill Dr
Aiken, SC 29803-1731
Phone (706) 774-2583

Other identifiers 6

IdentifierTypeStateIssuer
00531649JMedicaidGA
G28423MedicaidSC
221275OtherGABLUE CROSS BLUE SHIELD
4306466OtherGAAETNA
830008428OtherGARAILROAD MEDICARE
604802700OtherGAUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, WI, HI, MT5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20110215000457 GA Practitioner - Hematology/Oncology 4486685864 Reassigns benefits to 1 organization
I20171130002362 SC Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 4486685864 Reassigns benefits to 2 organizations
I20210309002824 WI Practitioner - Medical OncologyPractitioner - Hematology 4486685864 Reassigns benefits to 9 organizations
I20220203001905 HI Practitioner - Hematology/Oncology 4486685864 Reassigns benefits to 1 organization
I20240401000873 MT Practitioner - Hematology/Oncology 4486685864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Medical College of Georgia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Kauai Medical ClinicGroup PAC ID 5092628479, 147 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Phone (808) 245-1500

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710

Hospital & facility affiliations

  • Marshfield Medical Center - Minocqua Hospital, Minocqua, WI, CCN 520212
  • Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014
  • Northern Montana Hospital Hospital, Havre, MT, CCN 271348
  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51420SCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Montana Hospital Current Accepting new patients
Northern Montana Hospital CurrentSince Jan 29, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Mar 13, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 13, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Mar 13, 2023 Accepting new patients
Kauai Medical Clinic CurrentSince Oct 27, 2021 Accepting new patients
Carolina Family Care, Inc CurrentSince Jan 14, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 13, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 13, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 13, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 13, 2023 Accepting new patients
Carolina Family Care, Inc Hematology & Oncology CurrentSince Jan 14, 2021 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 13, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Mar 13, 2023 Accepting new patients
Kauai Medical Clinic CurrentSince Oct 27, 2021 Accepting new patients
Northern Montana Hospital CurrentSince Jan 29, 2024 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
Douglas Hematology Oncology Associates Hematology & Oncology Past Accepting new patients

Locations

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

40 13th St W
Havre, MT 59501
Phone (406) 262-6000

30 13th St
Havre, MT 59501
Phone (406) 262-1302

805 Pamplico Hwy
Ste 315
Florence, SC 29505
Phone (843) 674-6460

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1477530533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603898",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603898",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY STE 315",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056047",
            "telephone_number": "843-674-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Society Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298031731",
            "country_code": "US",
            "telephone_number": "706-774-2583",
            "fax_number": "706-722-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATON",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "51420",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "028423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00531649J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G28423",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "221275",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4306466",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830008428",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "604802700",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.