MEDEXPRESS PRIMARY CARE WISCONSIN, S.C.
NPI 1073105896
General Practice in Waupaca, WI

Q: What is Medexpress Primary Care Wisconsin, S.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since February 04, 2021

N2610 STATE ROAD 22 STE 2, WAUPACA, WI 54981(304) 225-2500 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Medexpress Primary Care Wisconsin, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDEXPRESS PRIMARY CARE WISCONSIN, S.C. (NPI 1073105896), doing business as Waupaca Foundry, is a healthcare organization registered as a general practice in Waupaca, Wisconsin and active in the NPI registry since February 2021. The organization lists Brett Gall, Director Payor Contracting, as its authorized official.

NPPES Registry Identity

NPI1073105896

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMEDEXPRESS PRIMARY CARE WISCONSIN, S.C.

Location AddressN2610 STATE ROAD 22 STE 2Waupaca, WI 54981-8264

Mailing Address1001 Consol Energy DrCanonsburg, PA 15317-6506 · (304) 225-2500

Phone(304) 225-2500

Organization SubpartNo

Authorized OfficialBrett GallDirector Payor Contracting · (304) 225-2500

Enumeration DateFebruary 4, 2021

NPPES CertifiedFebruary 4, 2021

✔ NPI 1073105896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

N2610 STATE ROAD 22 STE 2, Waupaca, WI 54981

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Other Names 1

Doing Business AsWaupaca Foundry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medexpress Primary Care Wisconsin, S.C.'s NPI number?

The NPI number for Medexpress Primary Care Wisconsin, S.C. is 1073105896. It was assigned to this organization in the NPPES registry on February 4, 2021. The provider is doing business as Waupaca Foundry.

Where is Medexpress Primary Care Wisconsin, S.C. located?

Medexpress Primary Care Wisconsin, S.C. is located at N2610 State Road 22 Ste 2, Waupaca, WI 54981. The listed phone number is (304) 225-2500.

What is Medexpress Primary Care Wisconsin, S.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Medexpress Primary Care Wisconsin, S.C. was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.