MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA (NPI# 1316227838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316227838 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA |
| Other Organization Name | MEDEXPRESS URGENT CARE - BRIDGEPORT JERRY DOVE DRIVE |
| Practice Address |
120 Medical Park Drive Suite 100 Bridgeport WV 26330 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 3048423278 |
| Practice Fax Number | 3048426716 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | MR. TIMOTHY G BUGIN (VP OF PAYOR CONTRACTING) |
| Authorized Official Telephone | 3042252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 01612 | WV | Allopathic & Osteopathic Physicians |
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
01612 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | STATE LICENSE | 01612 | 01 |
| WV | 3810021540 | 05 |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Bridgeport Jerry Dove Drive | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902147564 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 563 State Route 34, Hurricane, WV 25526-7000 | 2013-03-07 |
| 1891030334 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 5161 Washington St W, Cross Lanes, WV 25313-1535 | 2012-12-11 |
| 1003164211 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 10 Elm Grove Crossing Mall, Wheeling, WV 26003-5300 | 2012-08-17 |
| 1639436256 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 101 Emily Dr, Clarksburg, WV 26301-5502 | 2012-04-20 |
| 1801173653 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 630 Fairmont Ave, Fairmont, WV 26554-5104 | 2011-11-08 |
| 1689954109 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 1355 Edwin Miller Boulevard, Suite A, Martinsburg, WV 25404 | 2011-08-29 |
| 1629379607 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 620 National Rd, Suite 300, Wheeling, WV 26003-6560 | 2010-11-08 |
| Street Address |
120 MEDICAL PARK DRIVE SUITE 100 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467737676 | United Eye Associates | Optometrist | 120 Medical Park Drive, Suite 103, Bridgeport, WV 26330 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013960632 | Medbrook Medical Associates Inc | Clinic/Center | 1370 Johnson Avenue, Bridgeport, WV 26330-1382 | 2006-05-17 |
| 1255820924 | Sanitas of Connecticut LLC | Clinic/Center | 4551 Main St, Bridgeport, CT 06606-1818 | 2018-05-08 |
| 1548642283 | Bridgeport Family Medicine LLC | Clinic/Center | 754 Clinton Ave, Bridgeport, CT 06604 | 2015-06-18 |
| 1487087250 | Quentin Medical Group, LLC | Clinic/Center | 161 Boston Ave, Bridgeport, CT 06610-1662 | 2013-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043727787 | University Healthcare Physicians, Inc. | Clinic/Center | 61 Campus Dr, Martinsburg, WV 25404 | 2018-01-03 |
| 1417390154 | Fayette Medical Services Pllc | Clinic/Center | 5447 Maple Ln Ste B, Fayetteville, WV 25840-6872 | 2013-04-11 |
| 1699027714 | Eastern Div-ranson Urgent Care | Clinic/Center | 203 East Fourth Avenue Suite B, Ranson, WV 25438-1617 | 2012-10-12 |
| 1841564622 | Preston Memorial Medical Group | Clinic/Center | 27 N Robert Stone Way, Reedsville, WV 26547-7314 | 2012-02-27 |
| 1407180888 | Valeo Medical, Pllc | Clinic/Center | 260 Russell Ave, 260 Russell Ave, New Martinsville, WV 26155-1571 | 2009-10-01 |
| 1235316027 | Convenience Clinics of America, Inc | Clinic/Center | 2107 Pike St Ste 5, Parkersburg, WV 26101-6973 | 2008-01-24 |
| 1699814020 | Mountain Medical PC, LLC | Clinic/Center | 747 N Main St, Suite C, Moorefield, WV 26836-1020 | 2007-02-05 |
| 1730262668 | Snowshoe Mountain Inc. | Clinic/Center | 10 Snowshoe Dr., Snowshoe, WV 26209 | 2006-10-23 |
| 1992726236 | Jefferson Urgent Care, LLC | Clinic/Center | 84 Somerset Blvd, Charles Town, WV 25414-4827 | 2006-07-22 |
| 1215558416 | Upmc Western Maryland Corporation | Clinic/Center | 45 Hunt Club Dr, Ridgeley, WV 26753-7567 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on MEDEXPRESS URGENT CARE, INC. - WEST VIRGINIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.