Organization Active NPI

Keys Plastic Surgery, Inc.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Marathon, FL
National Provider Identifier
1801158274
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
ME81836 Issued in FL
Legal business name
KEYS PLASTIC SURGERY, INC.
Practice address
10095 Overseas Hwy
Marathon, FL 33050-3336
Phone
(305) 289-1975
Fax
(305) 289-1976
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. John Daniel Verghese, M.D.NPI 1275698201
Title
President
Phone
(305) 289-1975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X ME81836 FL Primary

Addresses

Primary practice location

10095 Overseas Hwy
Marathon, FL 33050-3336

Mailing address

10095 Overseas Hwy
Marathon, FL 33050-3336
Phone (305) 289-1975

Other identifiers 1

IdentifierTypeStateIssuer
1275698201OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120618000139 FL Part B Supplier - Clinic/Group Practice 4284898537 Receives reassigned benefits from 1 practitioner
Practice locations: Key West, FL; Marathon, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

10095 Overseas Hwy
Marathon, FL 33050
Phone (305) 289-1975

2901 Overseas Hwy
#2
Marathon, FL 33050
Phone (305) 289-1975

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1801158274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10095 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503336",
            "telephone_number": "305-289-1975",
            "fax_number": "305-289-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10095 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503336",
            "telephone_number": "305-289-1975",
            "fax_number": "305-289-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS PLASTIC SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "VERGHESE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-289-1975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME81836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275698201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.