Urgent Care Express LLC
Organization Active NPI Urgent Care Clinic/Center · Saint Joseph, MO
NPI 1407063209 · NPPES record last updated Dec 8, 2016
Key facts
- NPI
- 1407063209
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- URGENT CARE EXPRESS LLC
- Practice address
- 4776 Verona Dr
Saint Joseph, MO 64506-5030 - Phone
- (816) 396-9500
- NPI assigned
- May 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Kaveh Shafe, MD
- Title
- Owner
- Phone
- (816) 396-9500
Practitioners 50
-
Dorothy Louise Cox, F.N.P.
-
Nicole Susanne Ragland, NP-C
-
George Wesley Roodhouse, D.O.
-
Christian Dale Tanner, FNP-C
-
Sarah Jane Wallace, APN
-
Beth Horseman, FNP
-
Megan Augustine, APRN, FNP-C
-
Samantha Jo Brown, FNP
-
Gary L Chaney, NP
-
Sibyl E Downing, MD
-
Glen Georger, MD
-
Karl W Grant, D.O.
-
Jennifer Jo Jenkins, APRN
-
Pamela Kepus, ARNP
-
Karen Elizabeth McCoy, FNP-C
-
Angela Dawn Pike, DNP, FNP-C, PMHNP-BC
-
Sonya K. Roe, F.N.P.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2122757 | Urgent Care Express | Certificate of waiver | Dec 5, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070926000141 | MO | Part B Supplier - Clinic/Group Practice | 5294829248 |
Receives reassigned benefits from 29 practitioners Practice locations: Saint Joseph, MO; Gladstone, MO |
National Provider Directory
Locations
10015 N Ambassador Dr
Ste 100
Kansas City, MO 64153
Phone (816) 595-4000
4776 Verona Dr
Saint Joseph, MO 64506
Phone (816) 396-9500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
4776 Verona Dr
Saint Joseph, MO 64506-5030
Mailing address
4776 Verona Dr
Saint Joseph, MO 64506-5030
Phone (816) 396-9500
Other names
- Urgent Care Express
Other providers in Saint Joseph, MO
- Unity Home Inc.
- Unity Home Inc.
- Constance Sue Unzicker
- Deborah Lenora Uplinger
- Urgent Care Billing
- Marjorie L Urton-Smith
- V. Nanda Kumar, MD
- Valudental St Joseph LLC
- Latha Varghese
- Skariah Varghese
All providers in Saint Joseph, MO · Urgent Care Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.