Individual provider Active NPI

Kathleen A Rokavec, MD

  • General Practice Physician
  • Hardeeville, SC
National Provider Identifier
1164477659
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
85072 Issued in SC
Practice address
1195 Landshark Blvd
Hardeeville, SC 29927-4872
Phone
(865) 567-7856
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 017294 ME
General Practice Physician 208D00000X 85072 SC Primary

Addresses

Primary practice location

1195 Landshark Blvd
Hardeeville, SC 29927-4872

Mailing address

1195 Landshark Blvd
Hardeeville, SC 29927-4872
Phone (865) 567-7856

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85072SCMDGeneral Practice Physician
017294MEMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Cole Memorial D/B/a Upmc Cole Past Accepting new patients
Charles Cole Memorial Hospital D/B/a Upmc Cole Past Accepting new patients
Big Island Internal Medicine, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathleen.rokavec.1@21022.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1164477659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 LANDSHARK BLVD",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274872",
            "telephone_number": "865-567-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 LANDSHARK BLVD",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274872",
            "telephone_number": "865-567-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROKAVEC",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "017294",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "85072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.