NPIMap

Organization Active NPI

Medexpress Urgent Care PLLC-Morgantown

  • Urgent Care Clinic/Center
  • Morgantown, WV
National Provider Identifier
1235138280
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDEXPRESS URGENT CARE PLLC-MORGANTOWN
Practice address
215 Don Knotts Blvd
Suite 130
Morgantown, WV 26501-6734
Phone
(304) 291-3627
Fax
(304) 284-3630
NPI assigned
Jul 20, 2005
Last updated
Feb 14, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDEXPRESS URGENT CARE PLLC-MORGANTOWNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Timothy Bugin
Title
VP of Payor Contracting
Phone
(304) 225-2500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

215 Don Knotts Blvd
Suite 130
Morgantown, WV 26501-6734

Mailing address

1751 Earl L Core Road
Morgantown, WV 26505
Phone (304) 225-2500

Other identifiers 3

IdentifierTypeStateIssuer
51D0990987OtherWVCLIA
00043OtherWVSTATE LICENSE
3810002602MedicaidWV

National Provider Directory

National Provider Directory
Part of
Medexpress Urgent Care PLLC

Locations

215 Don Knotts Blvd
Ste 115
Morgantown, WV 26501

215 Don Knotts Blvd
Ste 130
Morgantown, WV 26501
Phone (304) 291-3627

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1235138280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 EARL L CORE ROAD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "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": "215 DON KNOTTS BLVD",
            "address_2": "SUITE 130",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265016734",
            "telephone_number": "304-291-3627",
            "fax_number": "304-284-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE PLLC-MORGANTOWN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDEXPRESS URGENT CARE PLLC-MORGANTOWN",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "BUGIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VP OF PAYOR CONTRACTING",
        "authorized_official_telephone_number": "304-225-2500"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "51D0990987",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "00043",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002602",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.