DR. LISA DIANE URBAN (NPI# 1023008000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023008000 |
| Entity Type | Individual |
| Full Name | DR. LISA DIANE URBAN |
| Other Name | LISA DIANE COLE |
| Credential | MD |
| Practice Address |
808 S 5th Ave Denton MD 21629-1398 |
| Practice Telephone | 4104792650 |
| Practice Fax Number | 3390822838 |
| Mailing Telephone | 1047926504 |
| Mailing Fax Number | 8339082283 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D0080347 | MD | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MA07918100 | NJ | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | C10009764 | DE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457570905 | Lisa Ann Urban | Kinesiotherapist | 1001 Isaac Streets Dr, Oregon, OH 43616-3205 | 2007-04-24 |
| Street Address |
808 S 5TH AVE |
| City | DENTON |
| State | MD |
| Zip Code | 21629-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750918447 | Sarah Lindsay Czyz | Dental Hygienist | 808 S 5th Ave, Denton, MD 21629-1398 | 2020-03-24 |
| 1720615487 | Carrie Arvonda Secrist Simpler | Dental Hygienist | 808 S 5th Ave, Denton, MD 21629-1398 | 2020-03-24 |
| 1619524477 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-26 |
| 1073160305 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-21 |
| 1336794155 | Vanessa Marie Moore | Dentist | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-08 |
| 1255858122 | Elizabeth Anne Buckshaw | Physician Assistant | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-08-23 |
| 1962932897 | Cameron Moore | Family Medicine | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-06-13 |
| 1164953790 | Adeline Lee Melvin | Pediatrics | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-03-24 |
| 1407263072 | John Matthews Eglseder II | Physician Assistant | 808 S 5th Ave, Denton, MD 21629-1398 | 2014-07-16 |
| 1801229133 | Megan Wojtko | Nurse Practitioner | 808 S 5th Ave, Denton, MD 21629-1398 | 2013-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215178124 | Anna Lee Nezafati | Pediatrics | 3201 Teasley Ln Ste 102, Denton, TX 76210-8301 | 2009-03-23 |
| 1760413173 | Stephen A. Schulman | Pediatrics | 2501 Scripture St Ste 101, Denton, TX 76201-2314 | 2006-07-05 |
| 1245272475 | Amy Jo Adams | Pediatrics | 2530 Scripture St, Denton, TX 76201-4317 | 2006-06-12 |
| 1609836527 | Constance Chamberlain Menard | Pediatrics | 304 Administration Drive, Denton, TX 76201 | 2006-03-24 |
| 1538134606 | Sheri N Moore | Pediatrics | 609 Daffin Ln, Denton, MD 21629 | 2006-02-21 |
| 1619535796 | Pediatric Urgent Care of Denton, Lp | Pediatrics | 2215 S Loop 288 Ste 322, Denton, TX 76205-4984 | 2019-06-03 |
| 1407323751 | Health for Kids Pediatrics Pllc | Pediatrics | 2501 Scripture St Ste 101, Denton, TX 76201-2314 | 2018-10-25 |
| 1164953790 | Adeline Lee Melvin | Pediatrics | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-03-24 |
| 1295170397 | Diane Shyung | Pediatrics | 3201 Teasley Ln Ste 102, Denton, TX 76210-8301 | 2013-05-02 |
| 1649613779 | Michelle Dian Bailey | Pediatrics | 2530 Scripture St, Denton, TX 76201-4317 | 2013-04-08 |
| Find all providers in DENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.