NPIMap

Organization Active NPI

Keowee Surgical Clinic P.a.

  • Surgery Physician
  • Seneca, SC
National Provider Identifier
1992776371
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17825 Issued in SC
Legal business name
KEOWEE SURGICAL CLINIC P.A.
Practice address
2 Lea'S Courtyard Cliffabee Lea'S
Seneca, SC 29679
Phone
(864) 882-5722
Fax
(864) 882-5739
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Helen Martin
Title
Office Manager
Phone
(864) 882-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 17825 SC Primary

Addresses

Primary practice location

2 Lea'S Courtyard Cliffabee Lea'S
Seneca, SC 29679

Mailing address

PO Box 946
2 Lea'S Courtyard
Seneca, SC 29679-0946
Phone (864) 882-5722

National Provider Directory

National Provider Directory

Locations

2 Leas Courtyard Dr
Seneca, SC 29672
Phone (864) 482-2191

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992776371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 946",
            "address_2": "2 LEA'S COURTYARD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296790946",
            "telephone_number": "864-882-5722",
            "fax_number": "864-882-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LEA'S COURTYARD CLIFFABEE LEA'S",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "29679",
            "telephone_number": "864-882-5722",
            "fax_number": "864-882-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEOWEE SURGICAL CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-882-5722",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "17825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.