Active NPI
Craig D Urban, M.D.
- Dermatology Physician
- Abilene, TX
National Provider Identifier
1184705071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- F2977
- Practice address
- 3190 Antilley Road
Abilene, TX 79606-5015 - Phone
- (325) 672-5603
- Fax
- (325) 672-6570
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | F2977 | TX | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | F2977 | TX | |
| Dermatopathology Physician | 207ND0900X | F2977 | TX | |
| Procedural Dermatology Physician | 207NS0135X | F2977 | TX |
Addresses
Primary practice location
3190 Antilley Road
Abilene, TX 79606-5015
Mailing address
3190 Antilley Road
Abilene, TX 79606-5015
Phone (325) 672-5603
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115642402 | Medicaid | TX | |
| 125915100 | Other | TX | FIRST CARE |
| 8AR520 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
| 118569 | Other | TX | SUPERIOR HEALTH PLAN |
| 4650549 | Other | TX | AETNA |
| 88540N | Other | TX | BLUECROSS BLUESHIELD |
| 070011407 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F2977 | TX | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1184705071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3190 ANTILLEY ROAD",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065015",
"telephone_number": "325-672-5603",
"fax_number": "325-672-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 ANTILLEY ROAD",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065015",
"telephone_number": "325-672-5603",
"fax_number": "325-672-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAN",
"first_name": "CRAIG",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "F2977",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "TX",
"license": "F2977",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "TX",
"license": "F2977",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "TX",
"license": "F2977",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115642402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE",
"identifier": "125915100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
"identifier": "8AR520",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR HEALTH PLAN",
"identifier": "118569",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4650549",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "88540N",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070011407",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
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- United Supermarkets LLC (United Pharmacy #548)
- United Supermarkets LLC (United Pharmacy)
- United Supermarkets LLC (United Pharmacy)
- United Supermarkets LLC (United Pharmacy #3547)
- Jonathan Patrick Urbanczyk, D.O.
- Nicole Leann Urbanczyk, PT
- Urgent Care Institute of Abilene LLC (Dr J Express Care)
- Jeffry Keith Utter, LCDC
- Sylvie Uwimana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.