Expressmed New Albany , LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2338635 Issued in OH

Legal business name

EXPRESSMED NEW ALBANY , LLC

Practice address

153 W Main St Ste 103
New Albany, OH 43054-9225

Phone

(614) 939-9110

Fax

(614) 939-4857

NPI assigned

Dec 5, 2014

Organization subpart

No

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

Authorized official

Name

Michael C Bourland

Title

President

Phone

(614) 442-2431

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Expressmed New Albany LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Expressmed New Albany LLC

  dba Expressmed Urgent Care

  • Urgent Care Clinic/Center
  • New Albany, OH
  • NPI 1053718387
  NPD tax ID

Locations

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1609274786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 KENNY RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212406",
            "telephone_number": "440-274-5035",
            "fax_number": "440-716-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W MAIN ST STE 103",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549225",
            "telephone_number": "614-939-9110",
            "fax_number": "614-939-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSMED NEW ALBANY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-442-2431"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "2338635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE REGISTRATION",
            "identifier": "2338635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laila Ettefagh
• Evans Pupil Inc
• Emily Evans
• Joshua R Evans Sr.
• Evercare Health Services LLC
• Expressmed New Albany LLC (Expressmed Urgent Care)
• Eye Designs New Albany, Inc (Eye Designs New Albany)
• Andrea Figueroa, PT
• Emily Finn, DPT
• Cynthia D. Fisher, C.R.N.A.

• Physical Therapist in New Albany, OH
• Providers in New Albany, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.