Keith Thomas Lonergan
Orthopaedic Surgery

Address: 315 Medical Pkwy, Suite 100, Greer, SC 29650-2456
Phone: 8644547422

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).

Provider Overview

Nation Provider Identifier (NPI) 1104962703
Entity Type Individual
Full Name Keith Thomas Lonergan
Credential MD
Gender Male
Practice Address 315 Medical Pkwy
Suite 100
Greer
SC 29650-2456
Practice Telephone 8644547422
Practice Fax Number 8647979701
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4545
Mailing Telephone 8647976044
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-01-30
Last Update Date 2013-08-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians 30396 SC

Other Provider Identifier

State Identifier Issuer Type Code
SC 576007863179 OTHER BCBS
SC G51248 MEDICAID
SC P00607534 OTHER RR MEDICARE

Physician Overview

NPI 1104962703
PAC ID by PECOS 2062470693
Professional Enrollment ID I20071211000037
Full Name Keith Thomas Lonergan
Organization Legal Name GHS PARTNERS IN HEALTH INC
Phone Number 8642717761
Gender M
Credential MD
Medical School PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1994
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 8325950983
Number of Group Practice Members 1155
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420033 GHS GREER MEMORIAL HOSPITAL
420102 GHS PATEWOOD MEMORIAL HOSPITAL
420023 ST FRANCIS-DOWNTOWN
420037 GHS HILLCREST MEMORIAL HOSPITAL

Office Location

Street Address 315 MEDICAL PKWY
SUITE 100
City GREER
State SC
Zip Code 29650-2456

Providers in the same location

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
1982955886 Michael Canaan Prater Orthopaedic Surgery 315 Medical Pkwy, Greer, SC 29650 2012-10-02
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
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992273684 Christopher Michael Campbell Pharmacist 845b S Buncombe Rd, Greer, SC 29650 2018-11-12
1669958831 Kristen Knight File Physician Assistant 2755 S Highway 14 Ste 1200l, Greer, SC 29650 2018-07-11
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
1386155265 Ajith A Skariah Nurse Anesthetist, Certified Registered 311 Chartwell Dr, Greer, SC 29650 2017-10-18
1437679750 Sanders Healthcare LLC Home Health 110 W. Church St., Suite A, Greer, SC 29650 2017-06-27
1265881353 New Leaf Therapy, LLC Counselor 72 Parkway Commons Way, Greer, SC 29650 2016-06-09
1306291117 James Elliott Crouch Occupational Therapy Assistant 1305 Boilings Springs Rd., Greer, SC 29650 2016-04-29
1356725584 Sheelah Gervacio Family Medicine 109 Physicians Drive, Suite A, Greer, SC 29650 2015-07-17
Find all providers in zip 29650

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114432077 Spartanburg Medical Center Orthopaedic Surgery 2755 S Highway 14 Ste 1200m, Greer, SC 29650 2017-12-13
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
1982955886 Michael Canaan Prater Orthopaedic Surgery 315 Medical Pkwy, Greer, SC 29650 2012-10-02
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
1902935117 Mountain View Orthopaedics Pa Orthopaedic Surgery 2755 S Highway 14, Suite 2100, Greer, SC 29650-4902 2007-03-05
1720176126 Frank Michael Armocida Orthopaedic Surgery 2755 S Highway 14, Suite 1200l, Greer, SC 29650-4902 2006-10-11
Find all providers in GREER

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City GREER
Zip Code 29650

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Dataset Information

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.

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