Medexpress Primary Care Arkansas, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDEXPRESS PRIMARY CARE ARKANSAS, P.A.

Doing business as

MedExpress Primary Care - Springdale Primary Care

Practice address

1160 S 40TH St
Springdale, AR 72762-4832

Phone

(479) 756-1702

Fax

(479) 756-1742

NPI assigned

Apr 3, 2020

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joy Kimball

Title

Contract Manager

Phone

(763) 349-6740

Specialties & licenses 1

Addresses

Other names 1

• MedExpress Primary Care - Springdale Primary Care Doing business as

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1023647856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 FORTRESS BLVD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081351",
            "telephone_number": "304-225-2500",
            "fax_number": "304-985-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 S 40TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624832",
            "telephone_number": "479-756-1702",
            "fax_number": "479-756-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS PRIMARY CARE ARKANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "763-349-6740"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Primary Care - Springdale Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedExpress Primary Care - Springdale Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brad William McMullin, RN
• Katharine McNiel, MD
• Cearra McPherson
• Isabella McPherson, MS, RDN, LD
• Michael Dale McQueen
• Medexpress Urgent Care Arkansas, P.a. (MedExpress Urgent Care - Springdale, S 40th Street)
• Medical Associates of Northwest Arkansas PA
• Medical Associates of Northwest Arkansas PA (MANA Physical Therapy)
• Medical Associates of Northwest Arkansas PA
• Medical Associates of Northwest Arkansas PA

• Family Medicine Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.