Organization Active NPI

Universal Center for Pediatric & Adolescent Medicine,LLC

Doing business as Ucpam

  • Pediatrics Physician
  • Hilton Head Island, SC
National Provider Identifier
1144598681
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
31267 Issued in SC
Legal business name
UNIVERSAL CENTER FOR PEDIATRIC & ADOLESCENT MEDICINE,LLC
Doing business as
Ucpam
Practice address
843 William Hilton Pkwy
Hilton Head Island, SC 29928-3444
Phone
(843) 682-4300
Fax
(843) 682-4301
NPI assigned
Dec 13, 2011
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Rosana Laborde Markley, M.D.
Title
Managing Member
Phone
(843) 682-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 31267 SC Primary

Addresses

Primary practice location

843 William Hilton Pkwy
Hilton Head Island, SC 29928-3444

Mailing address

PO Box 23916
Hilton Head Island, SC 29925-3916
Phone (843) 682-4300

Other names 1

  • UCPAM Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1144598681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23916",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299253916",
            "telephone_number": "843-682-4300",
            "fax_number": "843-682-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 WILLIAM HILTON PKWY",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283444",
            "telephone_number": "843-682-4300",
            "fax_number": "843-682-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL CENTER FOR PEDIATRIC & ADOLESCENT MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "MARKLEY",
        "authorized_official_first_name": "ROSANA",
        "authorized_official_middle_name": "LABORDE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "843-682-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "31267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCPAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.