MEDEXPRESS URGENT CARE, PC - TENNESSEE (NPI# 1689931446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689931446 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE, PC - TENNESSEE |
| Practice Address |
2686 W State St Bristol TN 37620-1817 |
| Mailing Address |
370 Southpointe Blvd Canonsburg PA 15317-8572 |
| Practice Telephone | 4238440026 |
| Practice Fax Number | 4238440028 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2013-06-20 |
| Authorized Official Name | MR. TIM 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 | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1527953 | 05 | |
| VA | 1689931446 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013419522 | Medexpress Urgent Care, PC - Tennessee | General Practice | 1 Bethel Valley Rd, Oak Ridge, TN 37830-8050 | 2018-03-01 |
| Street Address |
2686 W STATE ST |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558812198 | Wellmont Medical Associates, Inc. | Clinic/Center | 2686 W State St, Bristol, TN 37620-1817 | 2016-10-19 |
| 1902291685 | Emma Callahan Harrison | Nurse Practitioner | 2686 W State St, Bristol, TN 37620-1817 | 2015-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457759755 | New England Urgent Care Enfield LLC | Clinic/Center | 575 Farmington Ave, Unit 51, Bristol, CT 06010-3933 | 2014-12-18 |
| 1972772929 | Sugar Hollow Medical | Clinic/Center | 3177 Linden Dr, Suite #6, Bristol, VA 24202-5812 | 2008-02-25 |
| 1649265679 | Bristol Hospital Multi-specialty Group, Inc. | Clinic/Center | 923 Farmington Ave, Bristol, CT 06010-3927 | 2005-09-15 |
| 1255975330 | Urgent Care of Bristol, LLC | Clinic/Center | 576 Farmington Ave, Bristol, CT 06010-3933 | 2019-11-01 |
| 1558812198 | Wellmont Medical Associates, Inc. | Clinic/Center | 2686 W State St, Bristol, TN 37620-1817 | 2016-10-19 |
| 1528418720 | Melissa Dukich | Clinic/Center | 22 Pine St, Bristol, CT 06010-6948 | 2016-06-18 |
| 1770942575 | Wellmont Medical Associates, Inc. | Clinic/Center | 1220 Volunteer Pkwy, Bristol, TN 37620-4628 | 2016-02-22 |
| 1295193183 | Wellmont Medical Associates, Inc. | Clinic/Center | 410 Stagecoach Rd, Bristol, VA 24201-8359 | 2016-02-05 |
| 1639555469 | New England Urgent Care Enfield LLC | Clinic/Center | 576 Farmington Ave, Bristol, CT 06010-3933 | 2015-08-04 |
| 1053302646 | Medhelp PC | Clinic/Center | 539 Farmington Ave, Bristol, CT 06010-3931 | 2005-11-02 |
| Find all providers in BRISTOL | ||||
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| 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.