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KEITH MATTHEW WEBB MD NPI 1154340404


NPI Information

NPI: 1154340404
Provider Name: KEITH MATTHEW WEBB, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
48 CROSS PARK CT
DEPT OF PEDIATRIC SURGERY AND NEUROSURGERY
GREENVILLE, SC
ZIP 29605
Phone: (864) 797-7400
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Keith Matthew Webb, MD is a pediatric surgery surgery in Greenville, SC with 18 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Keith Matthew Webb, MD NPI is 1154340404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2006

The provider's business location address is:

48 CROSS PARK CT
DEPT OF PEDIATRIC SURGERY AND NEUROSURGERY
GREENVILLE, SC
ZIP 29605-263
Phone: (864) 797-7400
Fax: (864) 797-7405

The NPI 1154340404 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 5/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics29155SOUTH CAROLINANo
22086S0102XSurgerySurgical Critical Care29155SOUTH CAROLINANo
32086S0120XSurgeryPediatric Surgery29155SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1291552MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.