UPSTATE PLASTIC SURGERY
NPI 1013075712
Plastic Surgery in Greer, SC

NPI Status: Active since December 05, 2006

Contact Information

301 THE PARKWAY
GREER, SC
ZIP 29650
Phone: (864) 968-0168
Fax: (864) 968-9248

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  • Organization
  • Plastic Surgery
  • Accepts Insurance
  • CLIA Number: 42D1056130
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 07-06-2026

About UPSTATE PLASTIC SURGERY

This page provides the complete NPI Profile along with additional information for Upstate Plastic Surgery, a provider established in Greer, South Carolina operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1013075712 assigned on December 2006. The practitioner's primary taxonomy code is 208200000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kevin M Keller Md (Phy Owner)

NPI
1013075712
Provider Name
UPSTATE PLASTIC SURGERY
Entity Type
Organization
Location Address
301 THE PARKWAY GREER, SC 29650
Location Phone
(864) 968-0168
Location Fax
(864) 968-9248
Mailing Address
301 THE PARKWAY GREER, SC 29650
Mailing Phone
(864) 968-0168
Mailing Fax
(864) 968-9248
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue Reedy Bronze 1 - HMO
  • Blue Reedy Bronze 2 - HMO
  • Blue Reedy Gold 1 - HMO
  • Blue Reedy Silver 1 - HMO
  • Blue Reedy Silver 2 - HMO
  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Deluxe - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Deluxe - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 8 - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KEVIN M KELLER MD

Authorized Official Title
PHY OWNER
Authorized Official Phone
(864) 968-0168

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1467569574OTHER (01)NPI KEVIN M KELLER MD
1558475574OTHER (01)NPI ELIZABETH A ROTHMAN M
161372MEDICAID (05)SC 
1952419863OTHER (01)NPI JAMES E LOVETT III MD

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D1056130
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
July 07, 2024
Certificate Expiration Date
July 06, 2026
Laboratory Director
DR. ELIZABETH R. BLAKEMORE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Upstate Plastic Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for UPSTATE PLASTIC SURGERY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013075712
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 0 + 7 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1013075712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467569574DR. KEVIN METZ KELLER MD
Individual
Plastic Surgery301 THE PARKWAY
GREER, SC 29650
(864) 968-0168
1952419863DR. JAMES EMMETT LOVETT III MD
Individual
Plastic Surgery301 THE PARKWAY
GREER, SC 29650
(864) 968-0168
1558475574DR. ELIZABETH ROTHMAN BLAKEMORE MD
Individual
Plastic Surgery301 THE PARKWAY
GREER, SC 29650
(864) 968-0168

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013075712, enumerated in the NPI registry as an "organization" on December 05, 2006

The provider is located at 301 The Parkway Greer, Sc 29650 and the phone number is (864) 968-0168

This medical organization specializes in Plastic Surgery with taxonomy code 208200000X

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 42D1056130 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.