Active NPI
Medexpress Urgent Care, P.C. - Indiana
- General Practice Physician
- Tell City, IN
National Provider Identifier
1275384174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MEDEXPRESS URGENT CARE, P.C. - INDIANA
- Practice address
- 1001 Main Street
Tell City, IN 47586-2305 - Phone
- (812) 608-4697
- NPI assigned
- Mar 28, 2024
- Organization subpart
- No
NPPES NPI Registry
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
- (305) 225-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1001 Main Street
Tell City, IN 47586-2305
Mailing address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500
Other names 1
- Waupaca Foundry, Tell City
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2304335 | Medexpress Waupaca Foundry - Tell City | Certificate of waiver | May 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
1001 Main St
Tell City, IN 47586
Phone (812) 608-4697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711670400000",
"number": "1275384174",
"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": "1001 MAIN STREET",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475862305",
"telephone_number": "812-608-4697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEXPRESS URGENT CARE, P.C. - INDIANA",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-29",
"status": "A",
"authorized_official_last_name": "FERRELL",
"authorized_official_first_name": "DAVID",
"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": "Waupaca Foundry, Tell City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tell City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.