Provider Demographics
NPI:1043287568
Name:URBAN, STEVEN A (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:URBAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:ALLEN
Other - Last Name:URBAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1616 W MAIN ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-3100
Mailing Address - Country:US
Mailing Address - Phone:615-257-0900
Mailing Address - Fax:615-443-1444
Practice Address - Street 1:1616 W MAIN ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-3100
Practice Address - Country:US
Practice Address - Phone:615-257-0900
Practice Address - Fax:615-443-1444
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2023-03-07
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-08
Provider Licenses
StateLicense IDTaxonomies
TN32147174400000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3847601Medicaid
TN3847601Medicaid
H06259Medicare UPIN
TN3847601Medicaid
TN3847602Medicare PIN
3847601Medicare PIN