Robert J Urban, M.D.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

4301033860 Issued in MI

Practice address

500 Main St
Manistique, MI 49854-1522

Phone

(906) 341-2153

Fax

(906) 341-3299

NPI assigned

Jul 25, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104849868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541522",
            "telephone_number": "906-341-2153",
            "fax_number": "906-341-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541522",
            "telephone_number": "906-341-2153",
            "fax_number": "906-341-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MI",
            "license": "4301033860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4767660",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail I Sulander, MS RD CDE
• Lisa D Tatrow
• Breanna Trail
• Samantha Troxler
• Sarah Bess Unger
• Georganne Roberta Verigan, PHD, L.AC
• Maegan Wickstrom, LLMSW
• Deborah Zellar, M.S.W.

• Rural Health Clinic/Center in Manistique, MI
• Providers in Manistique, MI by specialty
• Rural Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.