Active NPI
Ugochi Cantave, MD
- Pediatrics Physician
- Port Royal, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- TL32111
- Practice address
- 1875 N Paris Ave
Port Royal, SC 29935-2029 - Phone
- (843) 522-3870
- Fax
- (843) 522-0691
- NPI assigned
- Jul 31, 2009
- Last updated
- Jul 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | TL32111 | SC | Primary |
Addresses
Primary practice location
1875 N Paris Ave
Port Royal, SC 29935-2029
Mailing address
1875 N Paris Ave
Port Royal, SC 29935-2029
Phone (843) 522-3870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL32111 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eau Claire Cooperative Health Center, Inc. | Pediatrics | Current | Accepting new patients |
| Eau Claire Cooperative Health Center ,Inc. | Current | Accepting new patients | |
| Southern Medical Management, LLC | Pediatrics | Past | Accepting new patients |
| Prisma Health-Midlands | Past | Accepting new patients | |
| Lexington Health Inc | Past | Accepting new patients | |
| Sweetgrass Pediatrics | Pediatrics | Past | Accepting new patients |
| Prisma Health-Midlands | Past | Accepting new patients | |
| Pediatrics of Newberry, LLC | Pediatrics | Past | Accepting new patients |
Locations
2117 Gervais St
Columbia, SC 29204
Phone (803) 744-0540
4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001
4605 Monticello Rd
Ste 1
Columbia, SC 29203
Phone (803) 252-7001
Interoperability endpoints
- ugochi.cantave.1@10781.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Columbia, SC
- NPI 1346249430
Pediatrics
-
dba Cooperative Health @ CAMH
- Federally Qualified Health Center (FQHC)
- Columbia, SC
- NPI 1588375653
-
dba Lexington Medical Center
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
-
- Pediatrics Physician
- Newberry, SC
- NPI 1659400851
-
dba Prisma Health Baptist Hospital
- General Acute Care Hospital
- Columbia, SC
- NPI 1336353408
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1558576280
-
dba SouthernMED Counseling
- Pediatrics Physician
- Lexington, SC
- NPI 1114196557
-
- Pediatrics Physician
- North Charleston, SC
- NPI 1437168135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248998400000",
"number": "1720219256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 N PARIS AVE",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299352029",
"telephone_number": "843-522-3870",
"fax_number": "843-522-0691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 N PARIS AVE",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299352029",
"telephone_number": "843-522-3870",
"fax_number": "843-522-0691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTAVE",
"first_name": "UGOCHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-31",
"last_updated": "2009-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "TL32111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Royal, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.