MEDEXPRESS URGENT CARE, PC - VIRGINIA (NPI# 1396263224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396263224 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE, PC - VIRGINIA |
| Other Organization Name | MEDEXPRESS URGENT CARE - JIMMY KLUGH, M.D. |
| Practice Address |
222 Coachside Dr Washington PA 15301-8942 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 3042252500 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | BRETT GALL (DIRECTOR PAYOR CONTRACTING) |
| Authorized Official Telephone | 3042252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Jimmy Klugh, M.D. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1902324544 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 17 Ronald Regan Drive, Parkersburg, WV 26101 | 2017-09-05 |
| 1740708627 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 520 Dew Drop Ln, Christiansburg, VA 24073-1195 | 2017-08-31 |
| 1285152181 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 1563 Broad Crossing Rd, Charlottesville, VA 22911-7480 | 2017-08-31 |
| 1306364229 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 107 Jones Ct, Frostburg, MD 21532-1415 | 2017-08-30 |
| 1942728878 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 405 Holly Ln, Morgantown, WV 26508-4890 | 2017-08-30 |
| 1588182406 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 267 Berlin Ln, Leeper, PA 16233-2105 | 2017-08-30 |
| 1780102608 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 105 Cameron Rd, Forest, VA 24551-1342 | 2017-08-30 |
| 1356869275 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 311 Graystone Dr, Canonsburg, PA 15317-0604 | 2017-08-30 |
| Street Address |
222 COACHSIDE DR |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-8942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466950 | Eugene Kojo Oteng | Emergency Medicine | Howard Univeristy Hospital, 2041 Georgia Ave Nw, Washington, DC 20059 | 2016-06-01 |
| 1790131134 | Louis Oliver Colaianni | Emergency Medicine | 115 Wilson Ave, Washington, PA 15301 | 2016-05-04 |
| 1659734853 | Randall Lee | Emergency Medicine | 2120 L. Street, Nw, Suite 450, Washington, DC 20037 | 2016-04-04 |
| 1033571906 | Elise Milani | Emergency Medicine | 2120 L St Nw Ste 459, Washington, DC 20037-1527 | 2016-03-22 |
| 1154732147 | Eric Kikuo Noji | Emergency Medicine | 1341 Hemlock St Nw, Washington, DC 20012-1560 | 2014-05-13 |
| 1194075051 | Oluwaseyi Adekunle | Emergency Medicine | 2138 California St Nw Apt 307, Washington, DC 20008 | 2012-09-18 |
| 1902191570 | Waddaa R Redha | Emergency Medicine | 2120 L St, Nw, Suite 450, Washington, DC 20037 | 2011-06-13 |
| 1609181130 | Rene Julio Moncion | Emergency Medicine | 24 Stonehenge Dr, Washington, PA 15301-3026 | 2010-08-09 |
| 1508095449 | Joshua Ryan Baker | Emergency Medicine | 1350 R St Nw, Apt 409, Washington, DC 20009-4323 | 2009-07-14 |
| 1154566941 | Francis J O'connell | Emergency Medicine | 2120 L St Nw Ste 530, Washington, DC 20037-1534 | 2008-12-08 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
Please comment or provide details below to improve the information on MEDEXPRESS URGENT CARE, PC - 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.