Active NPI
Medexpress Urgent Care, PC - Moon Township
- Urgent Care Clinic/Center
- Moon Township, PA
National Provider Identifier
1811141005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MEDEXPRESS URGENT CARE, PC - MOON TOWNSHIP
- Practice address
- 8702 University Blvd
Moon Township, PA 15108-4209 - Phone
- (412) 299-3627
- Fax
- (304) 299-3623
- NPI assigned
- Nov 14, 2008
- 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
- Tim Bugin
- Title
- VP Payor Contracting & Reimbursemen
- Phone
- (304) 225-2500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
8702 University Blvd
Moon Township, PA 15108-4209
Mailing address
PO Box 719
Dellslow, WV 26531-0719
Phone (304) 985-3627
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1568461077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301875200000",
"number": "1811141005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719",
"city": "DELLSLOW",
"state": "WV",
"postal_code": "265310719",
"telephone_number": "304-985-3627",
"fax_number": "304-985-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8702 UNIVERSITY BLVD",
"city": "MOON TOWNSHIP",
"state": "PA",
"postal_code": "151084209",
"telephone_number": "412-299-3627",
"fax_number": "304-299-3623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDEXPRESS URGENT CARE, PC - MOON TOWNSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-14",
"last_updated": "2011-04-04",
"status": "A",
"authorized_official_last_name": "BUGIN",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "VP PAYOR CONTRACTING & REIMBURSEMEN",
"authorized_official_telephone_number": "304-225-2500"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency 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": []
}
Other providers in Moon Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.