Medexpress, Inc - Delaware

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDEXPRESS, INC - DELAWARE

Doing business as

MedExpress - Wilmington Kirkwood Highway

Practice address

3926 Kirkwood Hwy
Wilmington, DE 19808-5110

Phone

(302) 998-2417

Fax

(302) 998-2485

NPI assigned

Jul 5, 2012

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 2

Addresses

Other identifiers 1

Other names 1

• MedExpress - Wilmington Kirkwood Highway Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medexpress, Inc - Delaware

  dba MedExpress - Wilmington Concord Pike

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1255692182

  O20120808000579

  Same enrollment
• Medexpress, Inc - Delaware

  dba MedExpress - Dover

  • Family Medicine Physician
  • Dover, DE
  • NPI 1265770135

  O20120808000579

  Same enrollment
• Medexpress, Inc - Delaware

  dba MedExpress - New Castle

  • Family Medicine Physician
  • New Castle, DE
  • NPI 1649529058

  O20120808000579

  Same enrollment
• Medexpress, Inc. - Delaware

  dba MedExpress - Newark

  • Family Medicine Physician
  • Newark, DE
  • NPI 1992060016

  O20120808000579

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jing Wei, MD

  • Family Medicine Physician
  • Newark, DE
  • NPI 1154426500
  NPD
• Faredoon K. Misaghi, DO

  • Family Medicine Physician
  • Charleston, WV
  • NPI 1427097302
  NPD

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1194080218",
    "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": "3926 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085110",
            "telephone_number": "302-998-2417",
            "fax_number": "302-998-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS, INC - DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255692182",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress - Wilmington Kirkwood Highway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Mease, DPT
• Med Accelerate LLC
• Med Psych Services LLC
• Medallion Home Care of de LLC
• Medeval, Corp. (Canna Care Docs)
• Medexpress, Inc - Delaware (MedExpress - Wilmington Concord Pike)
• William L. Medford, MD
• Medical Massage of Delaware
• Medical Massage of Delaware
• Linda Medio

• Family Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Medicine Physician in Delaware

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.