Unitedhealthcare of South Carolina, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

UNITEDHEALTHCARE OF SOUTH CAROLINA, INC.

Practice address

107 Westpark Blvd
Columbia, SC 29210-3871

Phone

(651) 414-8747

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Roger A Brown

Title

Vice President, Business Dev

Phone

(651) 414-8747

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1720624976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WESTPARK BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WESTPARK BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103871",
            "telephone_number": "651-414-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITEDHEALTHCARE OF SOUTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT, BUSINESS DEV",
        "authorized_official_telephone_number": "651-414-8747"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Mae Underwood, PHARMD
• United Mobile Imaging Inc
• United Physicians of South Carolina
• United Rehab Inc
• United Rehab Inc.
• Unity Medical & Wellness, LLC
• Universal Anesthesia Services
• Universal Language Center
• Universal Therapy & Testing LLC
• University Dental PA

• Health Maintenance Organization in Columbia, SC
• Providers in Columbia, SC by specialty
• Health Maintenance Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.