JONATHAN KYLE HEWETT (NPI# 1063696011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063696011 |
| Entity Type | Individual |
| Full Name | JONATHAN KYLE HEWETT |
| Credential | M.D. |
| Practice Address |
2728 Sunset Blvd Ste 300 West Columbia SC 29169-4815 |
| Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
| Practice Telephone | 8037444940 |
| Practice Fax Number | 8037444938 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25762 | SC | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
25762 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 257625 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 90 Summit Centre Dr, Columbia, SC 292296926 | 8037444940 | 8037444938 |
| 6 Richland Medical Park Dr Ste 2100, Columbia, SC 292036864 | 8034342762 |
| Street Address |
2728 SUNSET BLVD STE 300 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881667897 | Mitchell Wells Jacocks | Internal Medicine | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2006-02-09 |
| 1083211312 | Lexington Health Inc | Internal Medicine | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2020-10-09 |
| 1770116477 | Jamie L Odom | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2020-02-20 |
| 1033742531 | Keelin Jamaal Golden-maldonado | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2020-02-13 |
| 1912544198 | Casey Hendrix Purcell | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-12-05 |
| 1588200661 | Kaitlyn A Keenan | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-11-22 |
| 1770128613 | Lisa Mondo Davis | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-11-14 |
| 1265077622 | Rachel S Fogarty | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-11-08 |
| 1275093155 | Nyesha Nicole Hall | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-03-25 |
| 1700345303 | Kristina Allane Bristow | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2019-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912400300 | Carolina Cardiology and Vascular Associates LLC | Internal Medicine | 3020 Sunset Blvd Ste 105, West Columbia, SC 29169-3494 | 2018-03-13 |
| 1336309095 | Brandon Christian Drafts | Internal Medicine | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003318080 | Cardiac Cin of South Carolina LLC | Internal Medicine | 6650 Rivers Ave Ste 405, North Charleston, SC 29406-4809 | 2018-03-06 |
| 1376834606 | Heart Associate of Hilton Head PC | Internal Medicine | 14 Westbury Park, Suite 103, Bluffton, SC 29910-7461 | 2011-04-20 |
| 1861485088 | Donald E Saunders IIi | Internal Medicine | 4969 Centre Pointe Dr, Suite 100, North Charleston, SC 29418-6952 | 2005-08-23 |
| 1568455723 | Scott L Woodfield | Internal Medicine | 1033 Saint Andrews Blvd, Charleston, SC 29407-7156 | 2005-08-23 |
| 1851656482 | Vinod K Chaubey | Internal Medicine | 2376 Cypress Circle, Suite 102, Conway, SC 29526-8964 | 2012-07-10 |
| 1740569227 | Mohamed Faher Almahmoud | Internal Medicine | 169 Ashley Ave Rm 202, Charleston, SC 29425-0553 | 2011-08-15 |
| 1336439074 | Sebastiano Antonio Virgadamo | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2011-04-14 |
| 1104123835 | Heart Associate of Hilton Head LLC | Internal Medicine | 35 Hospital Center Cmns, Ste 101, Hilton Head, SC 29926-2845 | 2011-02-15 |
| 1740502822 | Bon Secours St Francis Xavier Hospital, Inc. | Internal Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2010-02-17 |
| 1235388224 | Mathew S Kalapurakal | Internal Medicine | 1083 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2008-09-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.