UPSTATE PLASTIC SURGERY – NPI #1013075712
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

UPSTATE PLASTIC SURGERY is a plastic surgeon located in GREER, SC. NPPES has assigned the NPI number 1013075712 to UPSTATE PLASTIC SURGERY on December 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UPSTATE PLASTIC SURGERY below.

NPI Profile for
UPSTATE PLASTIC SURGERY

NPI Number
1013075712
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UPSTATE PLASTIC SURGERY
Primary location
301 THE PARKWAY
GREER, SC 29650
Phone: (864) 968-0168 Fax: (864) 968-9248
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KEVIN KELLER
PHY OWNER
Phone: (864) 968-0168
Updated
Identifiers

Identifiers for UPSTATE PLASTIC SURGERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI ELIZABETH A ROTHMAN M1558475574
OTHERNPI JAMES E LOVETT III MD1952419863
OTHERNPI KEVIN M KELLER MD1467569574
MEDICAIDSC161372
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.