Medexpress Urgent Care, PC - Pennsylvania

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA

Doing business as

MedExpress Urgent Care - Selinsgrove

Practice address

1597 N Susquehanna TRL
Selinsgrove, PA 17870-7782

Phone

(570) 743-7821

Fax

(570) 743-7427

NPI assigned

Feb 3, 2012

Last updated

May 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joy Kimball

Title

Contract Manager

Phone

(763) 349-6740

Specialties & licenses 2

Addresses

Other names 1

• MedExpress Urgent Care - Selinsgrove Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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.

• Amanda Hope Alcorn, NP

  • Family Nurse Practitioner
  • Beaver, PA
  • NPI 1922580703
  NPD
• Harry Charles Myers, D.O.

  • Family Medicine Physician
  • Cranberry Township, PA
  • NPI 1932134178
  NPD
• Ateq M Rahman, MD

  • Family Medicine Physician
  • Beaver Falls, PA
  • NPI 1265725345
  NPD
• Jennifer L Waleski, PA-C

  • Medical Physician Assistant
  • Greensburg, PA
  • NPI 1437119203
  NPD
• Jaime L Cramer, CRNP

  • Nurse Practitioner
  • Morgantown, WV
  • NPI 1336424761
  NPD
• Michael V Dimucci, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Morgantown, WV
  • NPI 1083694806
  NPD
• Kara L Taylor, CRNP

  • Nurse Practitioner
  • Lewisburg, PA
  • NPI 1821334699
  NPD (past)

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1386916518",
    "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": "1597 N SUSQUEHANNA TRL",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178707782",
            "telephone_number": "570-743-7821",
            "fax_number": "570-743-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "763-349-6740"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Selinsgrove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew James McClure, DO
• James Paul McCormick, R.PH.
• James R Meadows, PH.D.
• Tawnya Meadows, PHD
• Med Plus
• Ann Marie Metzger General, CRNP
• Lisa Marie Meyers
• Diane Rose Michalik-Bonner, PSY.D
• Mid River Counseling, LLC
• Mid-Penn Urologic Associates

• Urgent Care Clinic/Center in Selinsgrove, PA
• Providers in Selinsgrove, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.