JASON ALAN RYTLEWSKI (NPI# 1104036029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104036029 |
| Entity Type | Individual |
| Full Name | JASON ALAN RYTLEWSKI |
| Credential | MD |
| Practice Address |
1605 East Broadway #300 Columbia MO 65201 |
| Mailing Address |
319 Hospital Dr Ste 102 Martinsville VA 24112-1928 |
| Practice Telephone | 5732567700 |
| Practice Fax Number | 5732563003 |
| Mailing Telephone | 2766344976 |
| Mailing Fax Number | 2766341942 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
0101261684 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INSTITUTIONAL PERMIT | BP1-0022677 | 01 |
| Street Address |
1605 EAST BROADWAY #300 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757041 | Martha J. Herring | Internal Medicine | 1605 East Broadway, Columbia, MO 65201-5844 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245266139 | Columbia Heart Clinic, Pa | Internal Medicine | 8 Richland Medical Park Drive., Suite 300, Columbia, SC 29203 | 2006-06-23 |
| 1457848749 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 | 2018-04-23 |
| 1073000378 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 300 Palmetto Health Pkwy Ste 400, Columbia, SC 29212-1764 | 2018-04-23 |
| 1750878062 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 6 Richland Medical Park Dr Ste 2100, Columbia, SC 29203-6864 | 2018-04-23 |
| 1598123549 | Providence Group Practices LLC | Internal Medicine | 2001 Laurel St, Columbia, SC 29204-1018 | 2016-02-05 |
| 1467876565 | Ca Group, LLC | Internal Medicine | 830 Admiral Weinel Blvd, Columbia, IL 62236-1992 | 2014-02-10 |
| 1518248459 | Providence Cardiology | Internal Medicine | 2001 Laurel St, Columbia, SC 29204-1018 | 2011-09-06 |
| 1609195320 | Johns Hopkins Regional Physicians LLC | Internal Medicine | 10710 Charter Dr, Ste 400, Columbia, MD 21044 | 2010-05-20 |
| 1679737720 | South Carolina Heart Center Pa | Internal Medicine | 2001 Laurel St, Columbia, SC 29204-1018 | 2008-07-17 |
| 1851342299 | Greg Flaker | Internal Medicine | One Hospital Dr, Columbia, MO 65212-0001 | 2006-05-12 |
| Find all providers in COLUMBIA | ||||
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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.