Individual
MR. ALBERT JOHN UMBACH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8091
(573) 884-1902
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10000261A
IN
363A00000X
Physician Assistant
Primary
2025051479
MO
363AS0400X
Surgical Physician Assistant
10000261A
IN
363AS0400X
Surgical Physician Assistant
PA415
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000074048
ANTHEM BLUE CROSS
—
Enumeration date
06/15/2005
Last updated
04/14/2026
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