Provider Demographics
NPI:1134141609
Name:URBAN, RICHARD STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:STEPHEN
Last Name:URBAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 HIGBEE DRIVE
Mailing Address - Street 2:SUITE B102
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102
Mailing Address - Country:US
Mailing Address - Phone:412-835-8090
Mailing Address - Fax:412-835-8044
Practice Address - Street 1:990 HIGBEE DRIVE
Practice Address - Street 2:SUITE B102
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102
Practice Address - Country:US
Practice Address - Phone:412-835-8090
Practice Address - Fax:412-835-8044
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024244E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00086196800015Medicaid
PA0008619680006Medicaid
PA088843OtherHIGHMARK BC/BS
PA203461OtherUPMC
PA0008619680002Medicaid
PA080133399OtherRAILROAD MEDICARE
PA2098981OtherAETNA
PA90548OtherHEALTH AMERICA
PA0008619680003Medicaid
PA088843OtherHIGHMARK BC/BS
PA00086196800015Medicaid