Medexpress Urgent Care, PC - Pennsylvania

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA

Doing business as

MedExpress Urgent Care - Indiana

Practice address

2128 Oakland Ave
Indiana, PA 15701-3384

Phone

(724) 349-4362

Fax

(724) 349-5316

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Joy Kimball

Title

Contract Manager

Phone

(763) 349-6740

Specialties & licenses 2

Addresses

Other names 1

• MedExpress Urgent Care - Indiana Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 4

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

• Vincent Capone

  • Physician Assistant
  • Altoona, PA
  • NPI 1215133665
  NPD
• Matthew James Cunningham, PA-C

  • Physician Assistant
  • Scranton, PA
  • NPI 1104295278
  NPD
• Kenzie Delp

  • Family Nurse Practitioner
  • Erie, PA
  • NPI 1104446285
  NPD
• Susan S Jackson, CRNP

  • Nurse Practitioner
  • Greenville, PA
  • NPI 1174827406
  NPD

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1639441868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 FORTRESS BLVD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081351",
            "telephone_number": "304-225-2500",
            "fax_number": "304-985-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 OAKLAND AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013384",
            "telephone_number": "724-349-4362",
            "fax_number": "724-349-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "763-349-6740"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riley Nicole McLaughlin
• Candice L McManis, LCSW
• Marlena R McNutt
• Lauren L McQuiston, BA
• Greta Marie Means, MOTR/L
• Menta Psychological, LLC
• Carolyn Menta, PSYD
• Vincent H. Mercuri, LPC
• Erik Sean Messinger, B.S
• Kelly Meyer, MD

• Urgent Care Clinic/Center in Indiana, PA
• Providers in Indiana, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.