Active NPI
Kevin L. Blanchard, CRNA
- Certified Registered Nurse Anesthetist
- Orangeburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1357
- Practice address
- 3000 Saint Matthews Rd
Orangeburg, SC 29118-1442 - Phone
- (803) 395-2200
- NPI assigned
- Apr 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1357 | SC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN181838 | GA |
Addresses
Primary practice location
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Mailing address
PO Box 1245
Orangeburg, SC 29116-1245
Phone (803) 395-4497
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507903223B | Medicaid | GA | |
| 507903223D | Medicaid | GA | |
| GP2825 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Anesthesiology Consultants, LLC | Past | Accepting new patients | |
| Advanced Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Atlanta Surgery Center LTD | Past | Accepting new patients | |
| TMC-West Georgia Anesthesia Associates Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ambulatory Anesthesia of Atlanta, P C | Past | Accepting new patients | |
| Amsol Anesthetists of Georgia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Peachtree Orthopaedic Surgery Center-North, LLC | Past | Accepting new patients |
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
- Lawrence, MA
- NPI 1467699918
-
- Anesthesiology Physician
- Covington, GA
- NPI 1649260738
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Marietta, GA
- NPI 1164418489
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1336104926
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1083600308
-
- Ambulatory Surgical Clinic/Center
- Cumming, GA
- NPI 1093389421
-
- Anesthesiology Physician
- Carrollton, GA
- NPI 1740252022
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1881658029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1245",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291161245",
"telephone_number": "803-395-4497",
"fax_number": "803-536-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 SAINT MATTHEWS RD",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291181442",
"telephone_number": "803-395-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "KEVIN",
"middle_name": "L.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "1357",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN181838",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507903223B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507903223D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2825",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
- Black River Labs and Wellness Center
- Black River Labs and Wellness Center
- Matthew Lynn Blackburn, M.D.
- Sally S Blake, FNP-C
- Gerard Kevin Blanchard Sr., LICENSED OPTICIAN
- Laura R Blankenship
- Monica Liliane Blundell Osorio
- Yaw Boateng, R.D., C.D.E.
- Joseph Davin Bonavilla, D.D.S.
- Annie Samantha Bonnette, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.