Medexpress Primary Care Minnesota, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDEXPRESS PRIMARY CARE MINNESOTA, P.C.

Doing business as

The Well - Eden Prairie, Optum Cir

Practice address

2 Optum Cir
Eden Prairie, MN 55344-2956

Phone

(952) 205-2170

Fax

(952) 205-3731

NPI assigned

Aug 22, 2017

Last updated

Nov 22, 2024By the provider in NPPES

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

(304) 225-2500

Specialties & licenses 1

Addresses

Other names 1

• The Well - Eden Prairie, Optum Cir Doing business as

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

CLIA laboratory certificates

Tax ID family

Medexpress Primary Care Minnesota PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Medexpress Primary Care Minnesota PC

  dba MedExpress The Well EP

  • General Practice Physician
  • Eden Prairie, MN
  • NPI 1174212294
  NPD tax ID
• Medexpress Primary Care Minnesota PC

  dba MedExpress The Well MTKA

  • General Practice Physician
  • Minnetonka, MN
  • NPI 1184313207
  NPD tax ID
• Medexpress Primary Care Minnesota, P.C.

  dba The Well - Duluth

  • General Practice Physician
  • Duluth, MN
  • NPI 1013561893
  NPD tax ID
• Medexpress Primary Care Minnesota, P.C.

  dba The Well - Minnetonka, Bren Rd E

  • General Practice Physician
  • Minnetonka, MN
  • NPI 1023534963
  NPD tax ID

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1841716883",
    "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": "2 OPTUM CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442956",
            "telephone_number": "952-205-2170",
            "fax_number": "952-205-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS PRIMARY CARE MINNESOTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "304-225-2500"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Well - Eden Prairie, Optum Cir",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celia Louise McNally
• Rebekah A McNattin, LICSW
• Ian A McNeil, D.C.
• Taylor Jon McWilliams, DPT
• Medexpress Primary Care Minnesota PC (MedExpress The Well EP)
• Medexpress Urgent Care Minnesota P.C. (MedExpress Urgent Care - Eden Prairie, W 78th St)
• Medical Scanning Consultants, PA (Rayus Radiology)
• Medicura Transport Solutions
• Mediride LLC
• Allen James Meglin, M.D.

• General Practice Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• General Practice Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.