MEDEXPRESS PRIMARY CARE WISCONSIN, S.C. – NPI #1194422964
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MEDEXPRESS PRIMARY CARE WISCONSIN, S.C. is a provider located in MARINETTE, WI. NPPES has assigned the NPI number 1194422964 to MEDEXPRESS PRIMARY CARE WISCONSIN, S.C. on February 13, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDEXPRESS PRIMARY CARE WISCONSIN, S.C. below.

NPI Profile for
MEDEXPRESS PRIMARY CARE WISCONSIN, S.C.

NPI Number
1194422964
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDEXPRESS PRIMARY CARE WISCONSIN, S.C.
Primary location
3900 HALL AVE
SUITE H
MARINETTE, WI 54143
Phone: (304) 225-2500 Fax:
Mailing address
1001 HORIZON VUE DR
CANONSBURG, PA 15317
Phone: (304) 225-2500 Fax:
Organization Subpart
No
Authorized Official
DAVID FERRELL
PRESIDENT
Phone: (305) 225-2500
Updated
Certification Date
Feb 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.