Medexpress Urgent Care Illinois, P.C.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEXPRESS URGENT CARE ILLINOIS, P.C.

Practice address

2524 N Illinois St
Swansea, IL 62226-2353

Phone

(618) 235-0605

Fax

(618) 235-0607

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Tim Bugin

Title

VP Payor Contracting

Phone

(304) 225-2500

Specialties & licenses 2

Addresses

Other names 1

• MedExpress Urgent Care - Swansea, N Illinois St Doing business as

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1033574256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONSOL ENERGY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153176506",
            "telephone_number": "304-225-2500",
            "fax_number": "724-743-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262353",
            "telephone_number": "618-235-0605",
            "fax_number": "618-235-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE ILLINOIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "BUGIN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "VP PAYOR CONTRACTING",
        "authorized_official_telephone_number": "304-225-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Swansea, N Illinois St",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Ashley McDaniel, LPC
• Deborah K McDermott, M.D.
• Donna McGhee, NP
• Murray D McGrady, MD
• Aiesha Nicole McIntosh, MSW, LCSW
• Medi-Plex Hospice of Illinois, LLC
• Tasha Meeks, LCSW
• Laure Megahy
• Menm, LLC
• Mental Health Resilience Group

• Urgent Care Clinic/Center in Swansea, IL
• Providers in Swansea, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.