Healthcare Provider Details

I. General information

NPI: 1790872547
Provider Name (Legal Business Name): MONICA MARY URBAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5105 SOM CENTER ROAD
WILLOUGHBY OH
44094
US

IV. Provider business mailing address

1001 LAKESIDE AVE E #1200
CLEVELAND OH
44114-1158
US

V. Phone/Fax

Practice location:
  • Phone: 216-621-5600
  • Fax: 216-479-5554
Mailing address:
  • Phone: 216-479-5541
  • Fax: 216-479-5554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35-054524
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35-054524
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: