Provider Demographics
NPI:1902697840
Name:MEDXPRESS HEALTH PLLC
Entity type:Organization
Organization Name:MEDXPRESS HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PA-C
Authorized Official - Prefix:
Authorized Official - First Name:SHERLYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARASA
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:612-298-9792
Mailing Address - Street 1:566 EDMUND AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-1683
Mailing Address - Country:US
Mailing Address - Phone:651-442-9485
Mailing Address - Fax:
Practice Address - Street 1:566 EDMUND AVE APT 3
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-1683
Practice Address - Country:US
Practice Address - Phone:651-442-9485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care