John S. Ravita MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

8174 Issued in SC

Legal business name

JOHN S. RAVITA MD PA

Practice address

2720 Sunset Blvd
West Columbia, SC 29169-4810

Phone

(803) 791-2598

Fax

(803) 791-2577

NPI assigned

Apr 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Salvatore Ravita, M.D.

Title

Director of Radiation Medicine

Phone

(803) 791-2598

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Patrick Ezekiel, M.D

  • Radiation Oncology Physician
  • Newberry, SC
  • NPI 1376502518
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609997055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WINDSONG ISLAND LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128329",
            "telephone_number": "803-791-2598",
            "fax_number": "803-791-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-791-2598",
            "fax_number": "803-791-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. RAVITA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAVITA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "DIRECTOR OF RADIATION MEDICINE",
        "authorized_official_telephone_number": "803-791-2598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "8174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA5958",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley V Jerry, PTA
• Eric D Jewell, NP-C
• Dawn M Jiles, LPC
• Erica M Johannes, DDS
• John 9 6 Inc (Core Chiropractic)
• Sarah John
• Keisha Renarda Johnson-Roseboro
• Alicia Johnson
• Brian Walter Johnson, MD
• David L Johnson, MD

• Specialist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.