NPIMap

Organization Active NPI

Medexpress Urgent Care, PC - Indiana

Doing business as MedExpress Urgent Care - Greenwood

  • Urgent Care Clinic/Center
  • Greenwood, IN
National Provider Identifier
1326476003
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDEXPRESS URGENT CARE, PC - INDIANA
Doing business as
MedExpress Urgent Care - Greenwood
Practice address
489 South State Road 135
Suite E
Greenwood, IN 46142-1407
Phone
(317) 889-0350
Fax
(317) 889-0320
NPI assigned
Oct 16, 2013
Last updated
Sep 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

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

Specialties & licenses 2

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

Addresses

Primary practice location

489 South State Road 135
Suite E
Greenwood, IN 46142-1407

Mailing address

1001 Consol Energy Dr
Canonsburg, PA 15317-6506
Phone (304) 225-2500

Other identifiers 1

IdentifierTypeStateIssuer
201134900 KMedicaidIN

Other names 1

  • MedExpress Urgent Care - Greenwood Doing business as

National Provider Directory

National Provider Directory

Locations

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

7225 US 31
Ste G
Indianapolis, IN 46227
Phone (317) 300-0356

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

3051 S US Highway 41
Terre Haute, IN 47802
Phone (317) 455-1064

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1326476003",
    "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": "489 SOUTH STATE ROAD 135",
            "address_2": "SUITE E",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421407",
            "telephone_number": "317-889-0350",
            "fax_number": "317-889-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE, PC - INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "BUGIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP OF PAYOR CONTRACTING",
        "authorized_official_telephone_number": "304-225-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201134900 K",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Greenwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.