Midwest Express Care 4, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MIDWEST EXPRESS CARE 4, LLC

Practice address

9861 Lincoln Plaza Way
Cedar Lake, IN 46303

Phone

(219) 401-8968

Fax

(219) 401-8981

NPI assigned

Mar 18, 2021

Organization subpart

Yes

Parent organization

MIDWEST EXPRESS CARE 4, LLCAs reported in NPPES

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

Authorized official

Name

Milap Shah

Title

Owner

Phone

(219) 802-8800

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Part of

Midwest Express Care 4 LLC

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1619553906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775342",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9861 LINCOLN PLAZA WAY",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "46303",
            "telephone_number": "219-401-8968",
            "fax_number": "219-401-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EXPRESS CARE 4, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST EXPRESS CARE 4, LLC",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MILAP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-802-8800"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Martell, DDS
• Rachael Marie McConnell, LSW
• Terrence Scott McDermott, D.D.S.
• Emily McMillin, PT, DPT
• Gianna Mendez
• Jon D Misch, D.O.
• Moody Dental LLC
• Alesha Moyer, FNP-C
• Mark Murzyn, PT
• Robin Nichols

• Urgent Care Clinic/Center in Cedar Lake, IN
• Providers in Cedar Lake, IN by specialty
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.