Medexpress Urgent Care PC - Indiana

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEXPRESS URGENT CARE PC - INDIANA

Doing business as

MedExpress Urgent Care - Bloomington

Practice address

123 S Franklin Rd
Bloomington, IN 47404-5296

Phone

(812) 339-2305

Fax

(812) 339-2318

NPI assigned

Apr 10, 2013

Last updated

Sep 8, 2016By 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

Mr. Tim G Bugin

Title

VP of Payor Contracting

Phone

(304) 225-2500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MedExpress Urgent Care - Bloomington Doing business as

Locations

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1932542925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONSOL ENERGY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153176506",
            "telephone_number": "304-225-2500",
            "fax_number": "724-743-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S FRANKLIN RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045296",
            "telephone_number": "812-339-2305",
            "fax_number": "812-339-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE PC - INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "BUGIN",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP OF PAYOR CONTRACTING",
        "authorized_official_telephone_number": "304-225-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201134900F",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Bloomington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayci Lee Mead, PA-C
• Savannah Mead, RBT
• Jennifer Anne Meador-Stone, NCCAOM DIPLOMAT LAC.
• Roxanne Meadows, RBT
• William Means
• Medical Center for Joint Restoration and Regenerative Medicine, LLC
• Medical Scanning Consultants, P.a. (Rayus Radiology)
• Patrick Medland, LCSW, LMHC, LMFT
• Kammie Kay Meek
• Brittany Meeks, RD, LD

• Urgent Care Clinic/Center in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.