NPIMap

Organization Active NPI

William M Urbas DPM PC

  • Podiatrist
  • Darby, PA
National Provider Identifier
1609945542
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002791L Issued in PA
Legal business name
WILLIAM M URBAS DPM PC
Practice address
1501 Lansdowne Ave
Suite 309
Darby, PA 19023-1333
Phone
(610) 534-6330
Fax
(610) 534-6339
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
William M Urbas, DPMNPI 1891743886
Title
Owner
Phone
(610) 534-6330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC002791L PA Primary

Addresses

Primary practice location

1501 Lansdowne Ave
Suite 309
Darby, PA 19023-1333

Mailing address

1501 Lansdowne Ave
Suite 309
Darby, PA 19023-1333
Phone (610) 534-6330

Other identifiers 1

IdentifierTypeStateIssuer
01287625MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040721000546 PA Part B Supplier - Clinic/Group Practice 6800876970 Receives reassigned benefits from 8 practitioners
Practice locations: Darby, PA
O20100930035795 PA DME Supplier - Physician - Podiatry 6800876970 Practice locations: Darby, PA

National Provider Directory

National Provider Directory

Locations

190 W Sproul Rd
Ste 121
Springfield, PA 19064

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1609945542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 309",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6330",
            "fax_number": "610-534-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 309",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6330",
            "fax_number": "610-534-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M URBAS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "URBAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-534-6330",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002791L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01287625",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.