Medexpress Urgent Care, PC - Maryland

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEXPRESS URGENT CARE, PC - MARYLAND

Doing business as

MedExpress Urgent Care - Forestville, Donnell Dr

Practice address

3270 Donnell Dr
Forestville, MD 20747-3205

Phone

(301) 967-4920

Fax

(301) 735-6728

NPI assigned

Jun 23, 2016

Last updated

May 2, 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

(763) 349-6740

Specialties & licenses 2

Addresses

Other names 1

• MedExpress Urgent Care - Forestville, Donnell Dr Doing business as

Locations

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1922459734",
    "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": "3270 DONNELL DR",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207473205",
            "telephone_number": "301-967-4920",
            "fax_number": "301-735-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE, PC - MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "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": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Forestville, Donnell Dr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Marshall, PSYD.
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 01476)
• Rusty Mason Jr., CDL
• Joy Tiffany Mayo, M.S.W., L.I.C.S.W.
• Leanna Beth Mayor
• Barbara A Meriedy
• Millennium Health and Rehabilitation Center of Forestville LLC (Forestville Health and Rehabilitation Center)
• Moore OBGYN LLC
• Javaka K Moore, M.D.
• Dominique Morman, LGSW

• Urgent Care Clinic/Center in Forestville, MD
• Providers in Forestville, MD by specialty
• Urgent Care Clinic/Center in Maryland

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.