Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 1149 | SC |
N | 207L00000X | Anesthesiologist | 34008457 | OH |
N | 207RC0200X | Critical Care Medicine | 1149 | SC |
NPI | 1003029323 |
---|---|
Provider Name | Adam Evec |
First Address | Atlanta, GA 30374-6639 |
Second Address | Spartanburg, SC 29303-3040 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 11/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221387 | UNISON (01) | OH |
000000527727 | ANTHEM (01) | OH |
011490 | (05) | SC |
0583328 | BCMH (01) | OH |
2762032 | (05) | OH |
414968 | WELLCARE MEDICAID (01) | OH |
750546 | BUCKEYE MEDICAID (01) | OH |
9833056 | AETNA (01) | OH |
AA28435019 | MEDICARE PIN (01) | SC |