MEDEXPRESS URGENT CARE CONNECTICUT, P.C.


Address: 68 Division St, Derby, CT 06418-1447
Phone: 2037326802

MEDEXPRESS URGENT CARE CONNECTICUT, P.C. (NPI# 1528592417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528592417
Entity Type Organization
Organization Name MEDEXPRESS URGENT CARE CONNECTICUT, P.C.
Other Organization Name MEDEXPRESS URGENT CARE - DERBY, DIVISION ST
Practice Address 68 Division St
Derby
CT 06418-1447
Mailing Address 1001 Consol Energy Dr
Canonsburg
PA 15317-6506
Practice Telephone 2037326802
Practice Fax Number 2037326792
Mailing Telephone 3042252500
Mailing Fax Number 7247431133
Enumeration Date 2017-04-18
Last Update Date 2017-04-18
Authorized Official Name MR. BRETT GALL (DIRECTOR PAYOR CONTRACTING)
Authorized Official Telephone 3042252500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
MedExpress Urgent Care - Derby, Division St Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508389859 Medexpress Urgent Care Connecticut, P.C. Emergency Medicine 752 Washington Street, Middletown, CT 06457-2904 2017-07-19
1558893560 Medexpress Urgent Care Connecticut, P.C. Emergency Medicine 875 E Main St, Meriden, CT 06450-6006 2017-03-29

Office Location

Street Address 68 DIVISION ST
City DERBY
State CT
Zip Code 06418-1447

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649665936 Jacqueline Braunworth Physician Assistant 68 Division St, Derby, CT 06418-1447 2015-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942839105 Fnu Prinkiya Student in an Organized Health Care Education/Training Program Griffin Hospital. 130 Division St, Derby, CT 06418 2020-04-08
1942837935 Ivanshi A Gondalia Student in an Organized Health Care Education/Training Program Griffin Hospital, 130 Division St, Derby, CT 06418 2020-03-27
1972168094 Pir Saad Student in an Organized Health Care Education/Training Program C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 2019-05-03
1295398899 Ahtsham Yousaf Chaudhary Student in an Organized Health Care Education/Training Program 130 Division St, Griffin Hospital, Derby, CT 06418 2019-04-18
1477016376 Rabia Usman Student in an Organized Health Care Education/Training Program 130 Division St. Griffin Hospital, Derby, CT 06418 2019-04-09
1932661428 Meshal Qaiser Student in an Organized Health Care Education/Training Program 130 Division Street Griffin Hospital, Derby, CT 06418 2019-04-03
1275027666 Victoria Anne Hodge Enquist Social Worker 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 2018-06-19
1811485758 Nimeshayan Varatharajah Student in an Organized Health Care Education/Training Program Griffin Hospital, 130 Division St., Derby, CT 06418 2018-04-26
1851889836 Pete Prashamsa Shenoy Student in an Organized Health Care Education/Training Program Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 2018-04-25
1639696594 Samantha Leigh Bassett Counselor 90 Sodom Lane, Derby, CT 06418 2017-08-23
Find all providers in zip 06418

Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629461116 Urgent Care of Derby, LLC Clinic/Center 78 Pershing Dr, Derby, CT 06418-1433 2015-03-09
1790130458 Family Medcenters, P.a. Clinic/Center 1101 N Rock Rd, Derby, KS 67037-3705 2016-05-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548804628 Urgent Care of West Hartford, LLC Clinic/Center 21 N Main St Ste B, West Hartford, CT 06107-1939 2019-11-01
1467937268 Ctuc01 Clinic/Center 1171 E Main St, Torrington, CT 06790-3963 2018-09-27
1972035657 New England Urgent Care Enfield LLC Clinic/Center 370 Middle Tpke W, Manchester, CT 06040-3824 2017-03-31
1396276960 Ctuc01 Clinic/Center 76 Newtown Rd., Suite C, Danbury, CT 06810 2017-03-24
1922539592 Ctuc01 Clinic/Center 179 Talcottville Rd, Vernon, CT 06066 2017-03-24
1134665698 Bloomfield Urgent Care, LLC Clinic/Center 16 Mountain Ave, Bloomfield, CT 06002-2339 2017-01-09
1053856039 Qmg3, LLC Clinic/Center 389 Bridgeport Ave, Shelton, CT 06824-5484 2016-12-29
1437546363 Qmg2,llc Clinic/Center 1910 Black Rock Tpke, Fairfield, CT 06825-3543 2015-04-17
1558753574 Ctuc01 Clinic/Center 100 Mill Plain Road, Danbury, CT 06811 2015-02-27
1457759755 New England Urgent Care Enfield LLC Clinic/Center 575 Farmington Ave, Unit 51, Bristol, CT 06010-3933 2014-12-18
Find all providers with the same taxonomy

Competitor

Search similar providers

City DERBY
Zip Code 06418

Improve Information

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Dataset Information

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.

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