NATHANIEL R EVANS (NPI# 1467747568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467747568 |
| Entity Type | Individual |
| Full Name | NATHANIEL R EVANS |
| Credential | MD |
| Practice Address |
210 Village Center Blvd Ste 200 Myrtle Beach SC 29579-6706 |
| Mailing Address |
7221 Hague Rd Indianapolis IN 46256-1925 |
| Practice Telephone | 8432363222 |
| Practice Fax Number | 8432363005 |
| Mailing Telephone | 8122404763 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2016-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 39886 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SOUTH CAROLINA LICENSE | 39886 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891164794 | Nathaniel Evans | Private Vehicle | 636 S La Brea Ave # 8, Inglewood, CA 90301-2726 | 2015-09-21 |
| 1659437549 | Nathaniel Rutherford Evans II | Emergency Medicine | 640 Beverly Rancocas Rd, Willingboro, NJ 08046-3736 | 2006-12-28 |
| 1104054378 | Nathaniel D. Evans | Obstetrics & Gynecology | 5750 E. Highway 90, Suite 300a, Sierra Vista, AZ 85635 | 2009-06-26 |
| 1285780239 | Nathaniel Rutherford Evans IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 834 Walnut St, Suite 650, Philadelphia, PA 19107-5109 | 2007-01-25 |
| Street Address |
210 VILLAGE CENTER BLVD STE 200 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093774028 | Kimberly A Cecchini-purgavie | Physical Medicine & Rehabilitation | 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-6706 | 2006-03-20 |
| 1780185611 | Ashley Cannon Alexander | Nurse Practitioner | 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-6706 | 2018-02-26 |
| 1306347257 | Orthosc LLC | Orthopaedic Surgery | 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579 | 2018-02-26 |
| 1760922322 | Joseph Long II | Nurse Practitioner | 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-6706 | 2017-03-02 |
| 1073862215 | Kimberley Ann Bower | Physician Assistant | 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-6706 | 2012-09-04 |
| 1972560738 | Thomas John Chambers | Orthopaedic Surgery | 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579-6706 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139919 | Orthosc LLC | Orthopaedic Surgery | 3620 Walton Dr Unit C-5c6, Myrtle Beach, SC 29577-6781 | 2020-09-17 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1710434451 | Carolina Orthopaedic Specialists | Orthopaedic Surgery | 185 Fresh Dr, Suite B, Myrtle Beach, SC 29579-4436 | 2016-09-09 |
| 1881727139 | Gene Matthew Massey | Orthopaedic Surgery | 210 Village Center Blvd., Suite 200, Myrtle Beach, SC 29579-6706 | 2007-03-14 |
| 1336105956 | Joe N Jarrett Jr. | Orthopaedic Surgery | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 | 2006-04-22 |
| 1316924632 | Carolina Bone & Joint Surgery Center | Orthopaedic Surgery | 101 Surgeons Dr, Myrtle Beach, SC 29579-5198 | 2005-12-28 |
| 1932184058 | William Paul Didelot | Orthopaedic Surgery | 920 Doug White Dr Ste 150, Myrtle Beach, SC 29572-4120 | 2005-12-13 |
| 1720063837 | Scott F Duncan V | Orthopaedic Surgery | 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572-4120 | 2005-12-12 |
| 1306347257 | Orthosc LLC | Orthopaedic Surgery | 210 Village Center Blvd Ste 200, Myrtle Beach, SC 29579 | 2018-02-26 |
| 1144660986 | Jesse Marsh Putman | Orthopaedic Surgery | 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572-4120 | 2013-06-25 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.