Dr Katelyn Urban, DO is a medicare enrolled "Dermatology" physician in Concord Township, Ohio. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2021 and has 5 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Newport Beach Surgical And Medical Group Inc, Csi Medical Group and her current practice location is
7580 Auburn Rd Ste 301, Concord Township, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 352-7546.
Dr Katelyn Urban is licensed to practice in Ohio (license number 34.017995) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114357191.
Physician's Profile
| Full Name | Dr Katelyn Urban |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 5 Years |
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| Location | 7580 Auburn Rd Ste 301, Concord Township, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Katelyn Urban attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2021
NPI Data:
- NPI Number: 1114357191
- Provider Enumeration Date: 11/12/2013
- Last Update Date: 06/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 7012145444
- Enrollment ID: I20250701003830
Medical Identifiers
Medical identifiers for Dr Katelyn Urban such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114357191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 20A21877 (California) | Secondary |
| 207N00000X | Dermatology | 34.017995 (Ohio) | Primary |
| 207NS0135X | Dermatology - Procedural Dermatology | 20A21877 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Newport Beach Surgical And Medical Group Inc | 3577784750 | 8 |
| Csi Medical Group | 5890916845 | 100 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Katelyn Urban is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Katelyn Urban, DO
2000 Auburn Dr Ste 350,
Beachwood, OH 44122-4327
Ph: (440) 646-1600 | Dr Katelyn Urban, DO
7580 Auburn Rd Ste 301,
Concord Township, OH 44077-9618
Ph: (440) 352-7546 |
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