NPIMap

Organization Active NPI

MD Express Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Sevierville, TN
National Provider Identifier
1790045656
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD16795 Issued in TN
Legal business name
MD EXPRESS URGENT CARE PLLC
Practice address
1548 Parkway Ste 201
Sevierville, TN 37862-4020
Phone
(865) 429-0208
Fax
(865) 429-0202
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Dr. Robert M Maughon, MDNPI 1093800609
Title
Physician/Owner
Phone
(865) 429-0208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MD16795 TN Primary

Addresses

Primary practice location

1548 Parkway Ste 201
Sevierville, TN 37862-4020

Mailing address

PO Box 1518
Pigeon Forge, TN 37868-1518
Phone (865) 429-0208

National Provider Directory

National Provider Directory
Tax ID family
MD Express Urgent Care 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1790045656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1518",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378681518",
            "telephone_number": "865-429-0208",
            "fax_number": "865-429-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 PARKWAY STE 201",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378624020",
            "telephone_number": "865-429-0208",
            "fax_number": "865-429-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD EXPRESS URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "MAUGHON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "865-429-0208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TN",
            "license": "MD16795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.