MEDICARE: DAVID S HEWITT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0500X	Cytopathology Physician	A48679	CA
2	207ZF0201X	Forensic Pathology Physician	A48679	CA
3	207ZH0000X	Hematology (Pathology) Physician	A48679	CA
4	207ZI0100X	Immunopathology Physician	A48679	CA
5	207ZN0500X	Neuropathology Physician	A48679	CA
6	207ZP0101X	Anatomic Pathology Physician	A48679	CA
7	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A48679	CA
8	207ZP0213X	Pediatric Pathology Physician	A48679	CA
9	207ZD0900X	Dermatopathology (Pathology) Physician	A48679	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CC9653	OTHER	CA	RAILROAD MEDICARE GRP NUM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124018148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID S HEWITT MD

Provider Business Mailing Address
First Line	:	316 S DUNWORTH ST
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93292-6702
Country	:	US
Telephone Number	:	550-625-0601
Fax Number	:	559-625-1315

Provider Business Practice Location Address
First Line	:	316 S DUNWORTH ST
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93292-6702
Country	:	US
Telephone Number	:	550-625-0601
Fax Number	:	559-625-1315

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	02/06/2008

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Directions to “ DAVID S HEWITT MD” Practice Location

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