Basic Information
| Provider Information | |||||||||
| NPI: | 1134141609 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | URBAN | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | STEPHEN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 990 HIGBEE DRIVE | ||||||||
| Address2: | SUITE B102 | ||||||||
| City: | BETHEL PARK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4128358090 | ||||||||
| FaxNumber: | 4128358044 | ||||||||
| Practice Location | |||||||||
| Address1: | 990 HIGBEE DRIVE | ||||||||
| Address2: | SUITE B102 | ||||||||
| City: | BETHEL PARK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4128358090 | ||||||||
| FaxNumber: | 4128358044 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2006 | ||||||||
| LastUpdateDate: | 08/25/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD024244E | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 00086196800015 | 05 | PA | MEDICAID | 0008619680006 | 05 | PA | MEDICAID | 088843 | 01 | PA | HIGHMARK BC/BS | OTHER | 203461 | 01 | PA | UPMC | OTHER | 0008619680002 | 05 | PA | MEDICAID | 080133399 | 01 | PA | RAILROAD MEDICARE | OTHER | 2098981 | 01 | PA | AETNA | OTHER | 90548 | 01 | PA | HEALTH AMERICA | OTHER | 0008619680003 | 05 | PA | MEDICAID |