Medexpress Primary Care Wisconsin, S.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDEXPRESS PRIMARY CARE WISCONSIN, S.C.

Practice address

3900 Hall Ave
Suite H
Marinette, WI 54143

Phone

(304) 225-2500

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

David R Ferrell, MD

Title

President

Phone

(305) 225-2500

Specialties & licenses 1

Addresses

Other names 1

• MedExpress Waupaca Foundry Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Medexpress Primary Care Wisconsin SC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Medexpress Primary Care Wisconsin, S.C.

  • General Practice Physician
  • Waupaca, WI
  • NPI 1073105896
  NPD tax ID
• Medexpress Primary Care Wisconsin, S.C.

  • General Practice Physician
  • De Pere, WI
  • NPI 1912650607
  NPD tax ID
• Medexpress Primary Care Wisconsin, S.C.

  • General Practice Physician
  • La Crosse, WI
  • NPI 1952064636
  NPD tax ID

Locations

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1194422964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HORIZON VUE DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "15317",
            "telephone_number": "304-225-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HALL AVE",
            "address_2": "SUITE H",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "54143",
            "telephone_number": "304-225-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS PRIMARY CARE WISCONSIN, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-225-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Waupaca Foundry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald J. McCarthy, MD
• Cindy L McCauley, RN BSN
• Christa McDonald
• Shannon McDonald, APSW
• John Kellogg McGuire, M.D.
• Nicole Anne Meighen, FNP
• Kara Ann Mekarski, CCC-SLP
• Terra L Menghini-Cox, FNP-BC, NP-C
• Marie Menza
• David R Mertens, MD

• General Practice Physician in Marinette, WI
• Providers in Marinette, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.