KEITH THOMAS LONERGAN (NPI# 1104962703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104962703 |
| Entity Type | Individual |
| Full Name | KEITH THOMAS LONERGAN |
| Credential | MD |
| Practice Address |
315 Medical Pkwy Suite 100 Greer SC 29650-2456 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8644547422 |
| Practice Fax Number | 8647979701 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 30396 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | BCBS | 576007863179 | 01 |
| SC | G51248 | 05 | |
| SC | RR MEDICARE | P00607534 | 01 |
| Street Address |
315 MEDICAL PKWY SUITE 100 |
| City | GREER |
| State | SC |
| Zip Code | 29650-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414926 | Wayne Franklin Sease Jr. | Family Medicine | 315 Medical Pkwy, Suite 100, Greer, SC 29650-2456 | 2005-08-18 |
| 1043764921 | Garrett I Valls | Physical Therapist | 315 Medical Pkwy, Ste. 150, Greer, SC 29650-2456 | 2016-08-09 |
| 1588016281 | Adam Cellamare | Specialist/Technologist | 315 Medical Pkwy, Suite 100, Greer, SC 29650-2456 | 2016-07-06 |
| 1881045128 | Amanda Fly Pope | Emergency Medicine | 315 Medical Pkwy, Ste 100, Greer, SC 29650-2456 | 2016-06-28 |
| 1699102525 | Christopher John Richards | Physician Assistant | 315 Medical Pkwy, Suite 100, Greer, SC 29650-2456 | 2013-10-10 |
| 1629401914 | Michael Andrew Gore | Physical Therapist | 315 Medical Pkwy, Ste 150, Greer, SC 29650-2456 | 2013-08-09 |
| 1275883811 | Sally Elizabeth Gregg | Physical Therapist | 315 Medical Pkwy, Ste 150, Greer, SC 29650-2456 | 2012-09-11 |
| 1164795167 | Heather Michelle Smith | Physical Therapist | 315 Medical Pkwy, Ste 150, Greer, SC 29650-2456 | 2012-02-22 |
| 1063711588 | William Brian Draddy | Physical Therapist | 315 Medical Pkwy, Ste 150, Greer, SC 29650-2456 | 2011-03-23 |
| 1063730786 | William Parshall Huntington | Orthopaedic Surgery | 315 Medical Pkwy, Greer, SC 29650-2456 | 2010-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1306133558 | Ronald Lee Newcomb Jr. | Orthopaedic Surgery | 315 Medical Pkwy Ste 100, Greer, SC 29650-2455 | 2011-07-07 |
| 1063566263 | Greer Group Practice, LLC | Orthopaedic Surgery | 501-b Memorial Extension Drive, Greer, SC 29651 | 2007-01-23 |
| 1174500599 | William B. Jones | Orthopaedic Surgery | 501 Memorial Drive Ext, Greer, SC 29651-1123 | 2005-12-28 |
| 1285156554 | Achesbegone LLC | Orthopaedic Surgery | 103a Regency Commons Dr, Greer, SC 29650-5210 | 2017-07-08 |
| 1851701437 | Alexander Henry Macdonell Iv | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200l, Greer, SC 29650-4902 | 2014-05-05 |
| 1780002105 | David Briski | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200l, Greer, SC 29650-4902 | 2014-04-02 |
| 1063730786 | William Parshall Huntington | Orthopaedic Surgery | 315 Medical Pkwy, Greer, SC 29650-2456 | 2010-05-05 |
| 1427207612 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14, Suite 1200l, Greer, SC 29650-4902 | 2008-09-12 |
| 1922255314 | Victor C Campbell | Orthopaedic Surgery | 111a Berry Ave, Greer, SC 29651-1307 | 2008-08-27 |
| Find all providers in GREER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.