Active NPI
Kenneth C. Evec, CRNA
- Certified Registered Nurse Anesthetist
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1487
- Practice address
- 955 Ribaut Rd
Beaufort, SC 29902-5441 - Phone
- (803) 454-2600
- Fax
- (803) 765-1732
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1487 | SC | Primary |
Addresses
Primary practice location
955 Ribaut Rd
Beaufort, SC 29902-5441
Mailing address
PO Box 1927
Columbia, SC 29202-1927
Phone (803) 765-1838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1107 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21139 | SC | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
| 1487 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Low Country Anesthesia, PA | Current | Accepting new patients | |
| Anesthesia Partners, LTD. | Past | Accepting new patients | |
| Anesthesia Associates of Savannah ,PA | Past | Accepting new patients | |
| St Johns Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Beaufort County Memorial Hospital | Past | Accepting new patients | |
| Mercy Hospital Jefferson | Past | Accepting new patients | |
| Beaufort County Memorial Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| St John'S Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
955 Ribaut Rd
#C
Beaufort, SC 29902
955 Ribaut Rd
#11
Beaufort, SC 29902
Phone (843) 522-5007
955 Ribaut Rd
Ste 11
Beaufort, SC 29902
Phone (843) 522-5746
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
190 Pembroke Dr
Hilton Head Island, SC 29926
Phone (843) 682-2345
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Beaufort, SC
- NPI 1417928268
-
- Certified Registered Nurse Anesthetist
- Beaufort, SC
- NPI 1467423178
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1487663688
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1043270465
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1700032653
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1841240546
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1124095344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1927",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292021927",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 RIBAUT RD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025441",
"telephone_number": "803-454-2600",
"fax_number": "803-765-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVEC",
"first_name": "KENNETH",
"middle_name": "C.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "1487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1107",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.