Express Urgent Care, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EXPRESS URGENT CARE, LLC

Practice address

449 Scranton Carbondale Hwy
Dickson City, PA 18508

Phone

(570) 344-6000

Fax

(570) 344-6002

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Shahroon Riaz Choudhry, MDNPI 1942444641

Title

Authorized Official

Phone

(570) 344-6000

Specialties & licenses 2

Addresses

Other names 1

• Express Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19481/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/15405/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahroon Riaz Choudhry, M.D.

  • Family Medicine Physician
  • Scranton, PA
  • NPI 1942444641
  Medicare reassignment NPD Authorized official
• Gavin Davis

  • Physician Assistant
  • Scranton, PA
  • NPI 1831591759
  Medicare reassignment
• Nina Francesca Grippo, PA-C

  • Medical Physician Assistant
  • Scranton, PA
  • NPI 1750017521
  Medicare reassignment
• Katie Jankauskas

  • Physician Assistant
  • Scranton, PA
  • NPI 1821853920
  Medicare reassignment
• Melissa Grace Wasielewski, PA-C

  • Physician Assistant
  • Scranton, PA
  • NPI 1821694464
  Medicare reassignment

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1417402249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 SCRANTON CARBONDALE HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081115",
            "telephone_number": "570-344-6000",
            "fax_number": "570-344-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 SCRANTON CARBONDALE HWY",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "18508",
            "telephone_number": "570-344-6000",
            "fax_number": "570-344-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Hwy 315",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187026952",
            "country_code": "US",
            "telephone_number": "570-822-3300",
            "fax_number": "570-822-3334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXPRESS URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "CHOUDHRY",
        "authorized_official_first_name": "SHAHROON",
        "authorized_official_middle_name": "RIAZ",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "570-344-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Express Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Leigh Edstrom, MA
• Dean Eleftherakis, L.AC. DIPL. OM
• Yosr Hasib Elsobky, LAPC, PSYD CANDIDATE
• Enhanced Hearing Specialists, LLC
• Melissa Evans, PA-C
• Jennifer Fischer, MS OTR/L CHT
• Alyson Flash, MMTH, MS, CRC, NCC
• Noel Furman, SLP
• Archi Gandhi
• Christel Elaine Garrett, OTR L CHT

• Multi-Specialty Clinic/Center in Dickson City, PA
• Providers in Dickson City, PA by specialty
• Multi-Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.