Organization Active NPI

Expressmed New Albany LLC

Doing business as Expressmed Urgent Care

  • Urgent Care Clinic/Center
  • New Albany, OH
National Provider Identifier
1053718387
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EXPRESSMED NEW ALBANY LLC
Doing business as
Expressmed Urgent Care
Practice address
153 W Main St Ste 103
New Albany, OH 43054-9225
Phone
(614) 939-9110
Fax
(614) 939-4857
NPI assigned
Dec 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Michael C Bourland
Title
P
Phone
(614) 442-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

153 W Main St Ste 103
New Albany, OH 43054-9225

Mailing address

2939 Kenny Rd Ste 200
Columbus, OH 43221-2406
Phone (440) 274-5035

Other identifiers 1

IdentifierTypeStateIssuer
2338635OtherOHSTATE REGISTRATION

Other names 1

  • Expressmed Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Expressmed New Albany LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1053718387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 KENNY RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212406",
            "telephone_number": "440-274-5035",
            "fax_number": "440-716-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W MAIN ST STE 103",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549225",
            "telephone_number": "614-939-9110",
            "fax_number": "614-939-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSMED NEW ALBANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "P",
        "authorized_official_telephone_number": "614-442-2431"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE REGISTRATION",
            "identifier": "2338635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expressmed Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.