Medexpress Primary Care Massachusetts, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C.

Practice address

578 Huntington Ave FL 2
Boston, MA 02115-5902

Phone

(618) 879-5220

Fax

(724) 743-1133

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Brett Gall

Title

Director Payor Contracting

Phone

(304) 225-2500

Specialties & licenses 1

Addresses

Tax ID family

BJ'S Wholesale - Westborough3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Medexpress Primary Care Massachusetts, P.C.

  • General Practice Physician
  • Milford, MA
  • NPI 1093219438
  NPD tax ID
• Medexpress Primary Care Massachusetts, P.C.

  • General Practice Physician
  • Westborough, MA
  • NPI 1407409659
  NPD tax ID

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1578099404",
    "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": "578 HUNTINGTON AVE FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155902",
            "telephone_number": "618-879-5220",
            "fax_number": "724-743-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-04-02",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Medeiros, NP
• Joshua Medeiros, PA-C
• Kathryn A Medeiros, RNC COHN-S
• Kayla Medeiros
• Linda Kathleen Medeiros, ARNP
• Arielle J Medford, MD
• Medical Care Affiliates
• Medical Center Orthotics and Prosthetics, LLC
• Fay Medici, DNP, CPNP-AC,MSN, RN
• Giancarlo Medina Perez

• Family Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.