Active NPI
Richard E. Umbach, MD
- Interventional Cardiology Physician
- Columbia, SC
National Provider Identifier
1407818065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 09103
- Practice address
- 2601 Laurel St
Ste 260
Columbia, SC 29204-2033 - Phone
- (803) 744-4900
- Fax
- (803) 744-4983
- NPI assigned
- Apr 6, 2006
- Last updated
- Sep 16, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 09103 | SC | |
| Interventional Cardiology Physician | 207RI0011X | 09103 | SC | Primary |
Addresses
Primary practice location
2601 Laurel St
Ste 260
Columbia, SC 29204-2033
Mailing address
2601 Laurel St
Ste 260
Columbia, SC 29204-2033
Phone (803) 744-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91037 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9103 | SC | MD | Professional Counselor |
| 09103 | SC | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Cardiology, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Lugoff, SC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1407818065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 LAUREL ST",
"address_2": "STE 260",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042033",
"telephone_number": "803-744-4900",
"fax_number": "803-744-4983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 LAUREL ST",
"address_2": "STE 260",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042033",
"telephone_number": "803-744-4900",
"fax_number": "803-744-4983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMBACH",
"first_name": "RICHARD",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "09103",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "SC",
"license": "09103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91037",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.