Active NPI
David Joel Hawa, ARDMS OB/GYN,ABD,VAS
- Sonography Radiologic Technologist
- Conway, SC
National Provider Identifier
1295091817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 34852
- Practice address
- 1608 N. Main St.
Conway, SC 29526 - Phone
- (843) 488-6355
- NPI assigned
- Apr 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 34852 | SC | Primary |
| Vascular Sonography Radiologic Technologist | 2471V0105X | 34852 | SC |
Addresses
Primary practice location
1608 N. Main St.
Conway, SC 29526
Mailing address
303 Milledge Dr
Conway, SC 29526-7851
Phone (843) 685-0991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34852 | SC | MD | Vascular Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1295091817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MILLEDGE DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295267851",
"telephone_number": "843-685-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 N. MAIN ST.",
"city": "CONWAY",
"state": "SC",
"postal_code": "29526",
"telephone_number": "843-488-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWA",
"first_name": "DAVID",
"middle_name": "JOEL",
"name_prefix": "Mr.",
"credential": "ARDMS OB/GYN,ABD,VAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "SC",
"license": "34852",
"primary": true
},
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "SC",
"license": "34852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.