Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ruvim Leontyev, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1003596016

Ruvim Leontyev, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Georgetown, South Carolina. Qualified in 2024, 2 years ago. Practices with Tidelands Anesthesia Group LLC, a 51-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2023
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

606 Black River Rd
Georgetown, SC 29440-3304
Phone: (843) 527-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 29045 (SC)

Record details

NPI number1003596016
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address14 Lockwood Dr Apt 6a, Charleston, SC 29401-1132

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tidelands Anesthesia Group Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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