Individual provider Active NPI

Eva Maria Rzucidlo, MD

  • Vascular Surgery Physician
  • Florence, SC
National Provider Identifier
1699787523
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
38867 Issued in SC
Practice address
101 S Ravenel St
Suite 230
Florence, SC 29506-2618
Phone
(843) 777-7043
Fax
(843) 777-7041
NPI assigned
Aug 12, 2006
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 38867 SC Primary
Vascular Surgery Physician 2086S0129X 11719 NH

Addresses

Primary practice location

101 S Ravenel St
Suite 230
Florence, SC 29506-2618

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7120

Other identifiers 1

IdentifierTypeStateIssuer
388672MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eva.rzucidlo@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201002107 SC Practitioner - Vascular SurgeryPractitioner - General Surgery 7810069820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

101 McLeod Health Blvd
Suite 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001

107 McLeod Health Blvd
Myrtle Beach, SC 29579-4477

115 McLeod Health Blvd
Myrtle Beach, SC 29579-4477

3980 Hwy 9 E
Little River, SC 29566-8164

4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 777-7000

4000 Hwy 9 W
Suite 245
Little River, SC 29566-7833
Phone (843) 366-2940

800 E Cheves St
Florence, SC 29506-2650

800 E Cheves St
Florence, SC 29506-2652

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)24
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Jan 11, 2016 Accepting new patients
McLeod Physician Associates II CurrentSince Jan 11, 2016 Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

101 S Ravenel St
Ste 230
Florence, SC 29506
Phone (843) 777-3850

506 E Cheves St
#202
Florence, SC 29506
Phone (843) 777-5091

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

3980 Highway 9 E
Ste 310
Little River, SC 29566
Phone (843) 390-8100

Interoperability endpoints

  • Direct secure messaging: eva.rzucidlo@mpaii.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1699787523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7120",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S RAVENEL ST",
            "address_2": "SUITE 230",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062618",
            "telephone_number": "843-777-7043",
            "fax_number": "843-777-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RZUCIDLO",
        "first_name": "EVA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "38867",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NH",
            "license": "11719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388672",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eva.rzucidlo@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "101 S Ravenel St",
            "address_2": "Suite 230",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295062618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.