Medexpress Primary Care Minnesota PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDEXPRESS PRIMARY CARE MINNESOTA PC

Doing business as

MedExpress The Well EP

Practice address

11000 Optum Circle
Eden Prairie, MN 55344-2503

Phone

(952) 205-2170

NPI assigned

May 4, 2023

Last updated

May 4, 2023By 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

David Ferrell, MD

Title

President

Phone

(302) 225-2500

Specialties & licenses 1

Addresses

Other names 1

• MedExpress The Well EP Doing business as

Tax ID family

Medexpress Primary Care Minnesota PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Medexpress Primary Care Minnesota PC

  dba MedExpress The Well MTKA

  • General Practice Physician
  • Minnetonka, MN
  • NPI 1184313207
  NPD tax ID
• Medexpress Primary Care Minnesota, P.C.

  dba The Well - Duluth

  • General Practice Physician
  • Duluth, MN
  • NPI 1013561893
  NPD tax ID
• Medexpress Primary Care Minnesota, P.C.

  dba The Well - Minnetonka, Bren Rd E

  • General Practice Physician
  • Minnetonka, MN
  • NPI 1023534963
  NPD tax ID
• Medexpress Primary Care Minnesota, P.C.

  dba The Well - Eden Prairie, Optum Cir

  • General Practice Physician
  • Eden Prairie, MN
  • NPI 1841716883
  NPD tax ID

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1174212294",
    "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": "26508",
            "telephone_number": "304-225-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 OPTUM CIRCLE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442503",
            "telephone_number": "952-205-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS PRIMARY CARE MINNESOTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-225-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress The Well EP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Rae McMahon, AU.D.
• Celia Louise McNally
• Rebekah A McNattin, LICSW
• Ian A McNeil, D.C.
• Taylor Jon McWilliams, DPT
• Medexpress Primary Care Minnesota, P.C. (The Well - Eden Prairie, Optum Cir)
• Medexpress Urgent Care Minnesota P.C. (MedExpress Urgent Care - Eden Prairie, W 78th St)
• Medical Scanning Consultants, PA (Rayus Radiology)
• Medicura Transport Solutions
• Mediride LLC

• General Practice Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• General Practice Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.