NPIMap

Organization Active NPI

Keem Spine Institute, P.C

  • Specialist
  • Lawrenceville, GA
National Provider Identifier
1487799771
Registry record updated Sep 13, 2012
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
49239 Issued in GA
Legal business name
KEEM SPINE INSTITUTE, P.C
Practice address
753 Old Norcross Rd
Suite B
Lawrenceville, GA 30046-4312
Phone
(770) 277-9222
Fax
(770) 817-0186
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Dr. Sean K Keem, M.D.
Title
President
Phone
(770) 277-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 49239 GA Primary

Addresses

Primary practice location

753 Old Norcross Rd
Suite B
Lawrenceville, GA 30046-4312

Mailing address

753 Old Norcross Rd
Suite B
Lawrenceville, GA 30046-4312
Phone (770) 277-9222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1487799771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 OLD NORCROSS RD",
            "address_2": "SUITE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464312",
            "telephone_number": "770-277-9222",
            "fax_number": "770-817-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 OLD NORCROSS RD",
            "address_2": "SUITE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464312",
            "telephone_number": "770-277-9222",
            "fax_number": "770-817-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEM SPINE INSTITUTE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "KEEM",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-277-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "49239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.