Active NPI
University Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Columbia, SC
National Provider Identifier
1194769992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- Legal business name
- UNIVERSITY PEDIATRICS
- Practice address
- 8301 Farrow Rd
Columbia, SC 29203-3245 - Phone
- (803) 935-5604
- Fax
- (803) 935-5380
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- R. Caughman Taylor, M.D.
- Title
- Chair
- Phone
- (803) 434-7950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | Primary |
Addresses
Primary practice location
8301 Farrow Rd
Columbia, SC 29203-3245
Mailing address
15 Medical Park
Suite 300
Columbia, SC 29203-6843
Phone (803) 255-3410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DRC001 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
8301 Farrow Rd
Columbia, SC 29203
Phone (803) 935-5604
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Cardiology Physician
- Columbia, SC
- NPI 1700815271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252972800000",
"number": "1194769992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MEDICAL PARK",
"address_2": "SUITE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036843",
"telephone_number": "803-255-3410",
"fax_number": "803-256-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 FARROW RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292033245",
"telephone_number": "803-935-5604",
"fax_number": "803-935-5380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2009-09-15",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "R.",
"authorized_official_middle_name": "CAUGHMAN",
"authorized_official_title_or_position": "CHAIR",
"authorized_official_telephone_number": "803-434-7950",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DRC001",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- University of South Carolina
- University of South Carolina Physical Therapy Clinic
- University of South Carolina School of Medicine
- University of South Carolina System
- University Pediatrics
- University Specialty Clinic
- University Specialty Clinics - Neurology
- University Specialty Clinics - Neuropsychiatry and Behavioral Science
- University Specialty Clinics - Neuropsychiatry and Behavioral Science
- University Specialty Clinics - Obstetrics/Gynecology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.