Medexpress Primary Care Kansas, P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDEXPRESS PRIMARY CARE KANSAS, P.A.

Doing business as

The Well - Overland Park, W 115th St

Practice address

6860 W 115TH St
Overland Park, KS 66211-2457

Phone

(913) 661-7181

Fax

(913) 217-9106

NPI assigned

Aug 22, 2017

Organization subpart

No

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

Authorized official

Name

Brett Gall

Title

Director Payor Contracting

Phone

(304) 225-2500

Specialties & licenses 1

Addresses

Other names 1

• The Well - Overland Park, W 115th St Doing business as

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1316463359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONSOL ENERGY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153176506",
            "telephone_number": "304-225-2500",
            "fax_number": "724-743-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 W 115TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662112457",
            "telephone_number": "913-661-7181",
            "fax_number": "913-217-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS PRIMARY CARE KANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "GALL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "DIRECTOR PAYOR CONTRACTING",
        "authorized_official_telephone_number": "304-225-2500"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Well - Overland Park, W 115th St",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Well - Overland Park, W 115th St",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynda Kaye Mechels, L.P.C.
• Megan Meckler
• Med-Trans Corporation
• Medbasics Kansas LLC
• Medexpress Labs
• Medical Specialists PA
• Mediquick Clinics of Kansas, LLC
• Mediway LLC
• Makayla Medlen
• Haley Medler, RBT

• General Practice Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.