Active NPI
Medexpress Urgent Care, PC - Maryland
Doing business as MedExpress Urgent Care - California, Abell House Ln
- Urgent Care Clinic/Center
- California, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MEDEXPRESS URGENT CARE, PC - MARYLAND
- Doing business as
- MedExpress Urgent Care - California, Abell House Ln
- Practice address
- 45325 Abell House LN
California, MD 20619-3211 - Phone
- (301) 862-1807
- Fax
- (301) 737-3079
- NPI assigned
- Feb 9, 2016
- Last updated
- May 2, 2024
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary | |
| Emergency Medicine Physician | 207P00000X | NU |
Addresses
Primary practice location
45325 Abell House LN
California, MD 20619-3211
Mailing address
423 Fortress Blvd
Morgantown, WV 26508-1351
Phone (304) 225-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300085100 | Medicaid | MD |
Other names 1
- MedExpress Urgent Care - California, Abell House Ln
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba MedExpress Urgent Care - LaVale
- Urgent Care Clinic/Center
- Lavale, MD
- NPI 1073857363
O20120109000056
-
- Urgent Care Clinic/Center
- Hagerstown, MD
- NPI 1164707980
O20120109000056
-
dba MedExpress Urgent Care - Waldorf, Crain Hwy
- Urgent Care Clinic/Center
- Waldorf, MD
- NPI 1528415064
O20120109000056
-
dba MedExpress Urgent Care - Frederick, Baughmans Ln
- Urgent Care Clinic/Center
- Frederick, MD
- NPI 1891142337
O20120109000056
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Glenn Dale, MD
- NPI 1558516187
-
- Emergency Medicine Physician
- Takoma Park, MD
- NPI 1245211275
-
- Emergency Medicine Physician
- Mercer, PA
- NPI 1154386050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1740648492",
"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": "45325 ABELL HOUSE LN",
"city": "CALIFORNIA",
"state": "MD",
"postal_code": "206193211",
"telephone_number": "301-862-1807",
"fax_number": "301-737-3079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEXPRESS URGENT CARE, PC - MARYLAND",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-09",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"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": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300085100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MedExpress Urgent Care - California, Abell House Ln",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in California, MD
- Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 01522)
- Rachel Mavilia
- Erin Louise McCarthy, MS, OTR/L
- Rebecca McKenna
- Christine McKimmie, O.D.
- Medstar Medical Group - Southern Maryland LLC (MedStar Shah Medical Group LLC)
- Medstar Medical Group - Southern Maryland LLC (MedStar Shah Medical Group LLC)
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.