MEDEXPRESS URGENT CARE, PC - OKLAHOMA (NPI# 1255719472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255719472 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS URGENT CARE, PC - OKLAHOMA |
| Other Organization Name | MEDEXPRESS URGENT CARE - OWASSO, E 86TH ST N |
| Practice Address |
11760 E 86th St N Owasso OK 74055-2533 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 9182722829 |
| Practice Fax Number | 9182722816 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | MR. TIM BUGIN (VP 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 |
|---|---|---|---|
| OK | 200568600C | 05 |
| Other Name | Type Code |
|---|---|
| MedExpress Urgent Care - Owasso, E 86th St N | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710371448 | Medexpress Urgent Care, PC - Oklahoma | Emergency Medicine | 2140 S Yale Avenue, Tulsa, OK 74114-2122 | 2015-03-19 |
| 1033517248 | Medexpress Urgent Care, PC - Oklahoma | Emergency Medicine | 3428 Nw Cache Road, Lawton, OK 73505-3846 | 2014-12-22 |
| Street Address |
11760 E 86TH ST N |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205981461 | Craig Steven Corson | Family Medicine | 11760 E 86th St N, Owasso, OK 74055-2533 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161386 | On Demand Urgent Care, LLC | Clinic/Center | 11426 N 134th E Ave, Owasso, OK 74055-5755 | 2019-02-22 |
| 1134273873 | Urgent Care of Green Country Pllc | Clinic/Center | 13616 E 103rd Street N, Suite A, Owasso, OK 74055 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426737 | Creekside Urgent Care LLC | Clinic/Center | 1101 Nw 178th St Ste B, Edmond, OK 73012-4281 | 2020-04-22 |
| 1629604434 | Medwise LLC | Clinic/Center | 11495 S. State Highway 51, Coweta, OK 74429 | 2020-03-13 |
| 1831722982 | Sooner Urgent Care LLC | Clinic/Center | 2100 W Lindsey St Ste B, Norman, OK 73069-4108 | 2020-02-18 |
| 1720639263 | Nicholette Brosseau | Clinic/Center | 1520 Sw 1st St, Wagoner, OK 74467-4839 | 2019-09-25 |
| 1548819477 | Christi Lea Vick | Clinic/Center | 704 Azalea Hill Dr, Yukon, OK 73099-6504 | 2019-09-04 |
| 1447805544 | Revive Medical Urgent Care LLC | Clinic/Center | 4215 N Classen Blvd Ste 100, Oklahoma City, OK 73118-2426 | 2019-08-06 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1720554231 | Gdn LLC | Clinic/Center | 1315 Chisholm Trail Pkwy, Duncan, OK 73533-1533 | 2018-10-23 |
| 1699262576 | Immediate Care of Oklahoma, LLC | Clinic/Center | 4500 Tinker Rd, Oklahoma City, OK 73135-4614 | 2018-04-17 |
| 1992292999 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10551 Se 59th St, Oklahoma City, OK 73150-4302 | 2018-04-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDEXPRESS URGENT CARE, PC - OKLAHOMA.
| 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.