JORDAN W RAWL (NPI# 1184035628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184035628 |
| Entity Type | Individual |
| Full Name | JORDAN W RAWL |
| Credential | M.D. |
| Practice Address |
146 E Hospital Dr Ste 200 West Columbia SC 29169-4800 |
| Mailing Address |
470 Hulon Ln West Columbia SC 29169-4841 |
| Practice Telephone | 8039367530 |
| Practice Fax Number | 8039367532 |
| Mailing Telephone | 8039367530 |
| Mailing Fax Number | 8039367532 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 84756 | SC | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 85756 | SC | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | BP10050654 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 University Blvd, Galveston, TX 775550521 | 4097724688 | 4097721715 |
| Street Address |
146 E HOSPITAL DR STE 200 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255369609 | Edward A Woody | Otolaryngology | 146 E Hospital Dr Ste 200, West Columbia, SC 29169 | 2006-06-28 |
| 1013514330 | Lexington Health Inc | Surgery | 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | 2020-10-09 |
| 1043845571 | Amy C Romine | Nurse Practitioner | 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | 2020-03-04 |
| 1285897470 | Neal W Burkhalter | Otolaryngology | 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | 2008-07-08 |
| 1841310851 | Melanie Wilson Seybt | Otolaryngology | 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | 2007-03-31 |
| 1639222037 | Andrew P Battiata | Otolaryngology | 146 E Hospital Dr Ste 200, West Columbia, SC 29169 | 2007-01-19 |
| 1184737132 | Laura A Droege | Audiologist | 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | 2006-08-16 |
| 1992730493 | Brian Kent Heaberlin | Otolaryngology | 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | 2006-07-12 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255369609 | Edward A Woody | Otolaryngology | 146 E Hospital Dr Ste 200, West Columbia, SC 29169 | 2006-06-28 |
| 1285897470 | Neal W Burkhalter | Otolaryngology | 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | 2008-07-08 |
| 1841310851 | Melanie Wilson Seybt | Otolaryngology | 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | 2007-03-31 |
| 1639222037 | Andrew P Battiata | Otolaryngology | 146 E Hospital Dr Ste 200, West Columbia, SC 29169 | 2007-01-19 |
| 1992730493 | Brian Kent Heaberlin | Otolaryngology | 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316764 | Carolina Pines Ear Nose Throat & Allergy Associates LLC | Otolaryngology | 2032 Medical Park Dr, Newberry, SC 29108-2248 | 2020-08-13 |
| 1932667276 | Brendan Hardy | Otolaryngology | 135 Rutledge Ave Ste 1130, Charleston, SC 29425 | 2019-03-06 |
| 1538696091 | Michael Richard Bobian | Otolaryngology | 135 Rutledge Ave # Msc550, Charleston, SC 29425-8903 | 2017-05-16 |
| 1316497845 | Thomas Edward Nix | Otolaryngology | 28 Collins Ridge Dr, Greenville, SC 29607-3775 | 2016-10-07 |
| 1194150573 | Sarfaraz Mubarak Banglawala | Otolaryngology | Musc Dept of Otolaryngology Head and Neck, 135 Rutledge Avenue, Charleston, SC 29425-0001 | 2013-09-04 |
| 1457614703 | Travis Parke Schrank | Otolaryngology | Otolaryngology Head and Neck Surgery, 135 Rutledge Ave Msc 550, Charleston, SC 29425-0001 | 2012-06-21 |
| 1427377076 | Sarah Jane Novis | Otolaryngology | 3980 Highway 9 E Ste 340, Little River, SC 29566-8165 | 2010-05-21 |
| 1215268578 | Newton Gaston Quantz Jr. | Otolaryngology | 401 Ralston Creek Street, Charleston, SC 29492 | 2010-01-26 |
| 1386871499 | Shaun A Nguyen | Otolaryngology | 135 Rutledge St # Msc550, Charleston, SC 29425-8903 | 2009-06-16 |
| 1285825240 | Daniel Mcqueen Ervin | Otolaryngology | 1523 B Heritage Lane, Florence, SC 29505-3197 | 2007-08-06 |
| 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.