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 MTKA

Practice address

9700 Health Care LN
Minnetonka, MN 55343-4522

Phone

(952) 936-6282

NPI assigned

May 4, 2023

Last updated

Sep 16, 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

(804) 339-3933

Specialties & licenses 1

Addresses

Other names 1

• MedExpress The Well MTKA 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 EP

  • General Practice Physician
  • Eden Prairie, MN
  • NPI 1174212294
  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

Locations

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1184313207",
    "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": "9700 HEALTH CARE LN",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553434522",
            "telephone_number": "952-936-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS PRIMARY CARE MINNESOTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "804-339-3933"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress The Well MTKA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedExpress The Well MTKA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Kaye McNallan, PA-C
• Britt S. McRae, NP
• Sean McRoberts, MD
• Shane McWhirter, MD
• Wendelin Meares, FNP
• Medexpress Primary Care Minnesota, P.C. (The Well - Minnetonka, Bren Rd E)
• Medica Health Management, LLC (Integrated Care by Medica)
• Medstudio, PLLC
• Carey Meehan, PT
• Hannah Mae Meehan, DPT

• General Practice Physician in Minnetonka, MN
• Providers in Minnetonka, 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 Sep 16, 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.