Dr. Scott Eric Urch
Sports Medicine Orthopaedic Surgeon
503 E Grant St
Macomb
, Illinois 61455-3313
Dr. Scott Eric Urch
Sports Medicine Orthopaedic Surgeon
503 E Grant St
Macomb
, Illinois 61455-3313
(309) 833-5917
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Scott Eric Urch
- 503 E Grant St
- Macomb, IL
- Zip : 61455-3313
- Phone : (309) 833-5917
Second Address
- Dr. Scott Eric Urch
- 503 E Grant St
- Macomb, IL
- Zip : 61455-3313
- Phone : (309) 833-5917
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 01062567A | IN |
National Provider Identifier
| NPI | 1093792277 |
|---|---|
| Provider Name | Dr. Scott Eric Urch |
| First Address | Macomb, IL 61455-3313 |
| Second Address | Macomb, IL 61455-3313 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2005 |
| Last Update Date | 13/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000488866 | ANTHEM BCBS (01) | IN |
| DB9030 | RAILROAD MEDICARE GROUP NUMBER (01) | GA |
| G96502 | (02) | |
| P00479061 | RAILROAD MEDICARE PTAN (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.