MEDEXPRESS URGENT CARE - JULIEANNE WATTERS, D.O.
NPI 1356869275
Emergency Medicine in Canonsburg, PA

Active since August 30, 2017
311 GRAYSTONE DR, CANONSBURG, PA 15317(304) 225-2500 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 2, 2024, Aug 30, 2017 (2 updates tracked since 2017).

  • Organization
  • Emergency Medicine

About MEDEXPRESS URGENT CARE - JULIEANNE WATTERS, D.O.

This page provides the complete NPI Profile along with additional information for Medexpress Urgent Care - Julieanne Watters, D.o., a provider established in Canonsburg, Pennsylvania operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1356869275 assigned on August 2017. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Medexpress Urgent Care - Julieanne Watters, D.o.. The authorized official of this NPI record is Joy Kimball (Contract Manager)

NPI
1356869275 Verify this NPI
Provider Legal Name
MEDEXPRESS URGENT CARE, PC - VIRGINIA
Other Organization Name
MEDEXPRESS URGENT CARE - JULIEANNE WATTERS, D.O.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
311 GRAYSTONE DR CANONSBURG, PA 15317
Location Phone
(304) 225-2500
Mailing Address
423 FORTRESS BLVD MORGANTOWN, WV 26508
Mailing Phone
(304) 225-2500
Mailing Fax
(304) 985-6350
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2017
Last Update Date
05-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOY KIMBALL

Authorized Official Title
CONTRACT MANAGER
Authorized Official Phone
(763) 349-6740

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356869275, enumerated as an "organization" on August 30, 2017.

The provider is located at 311 GRAYSTONE DR CANONSBURG, PA 15317 and the phone number is (304) 225-2500.

Emergency Medicine with taxonomy code 207P00000X.