MEDICAL EDGE HEALTHCARE GROUP PA (NPI# 1730492695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730492695 |
| Entity Type | Organization |
| Organization Name | MEDICAL EDGE HEALTHCARE GROUP PA |
| Other Organization Name | COPPELL FAMILY MEDICAL CENTER |
| Practice Address |
580 S Denton Tap Rd Ste 123 Coppell TX 75019-4099 |
| Practice Telephone | 9724620762 |
| Practice Fax Number | 9723932133 |
| Mailing Telephone | 9724620762 |
| Mailing Fax Number | 9723932133 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-10-05 |
| Authorized Official Name | CLAY HEIGHTEN (PRESIDENT) |
| Authorized Official Telephone | 9727393001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Coppell Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023323805 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 221 W Colorado Blvd Ste 108, Pavilion 1, Dallas, TX 75208-2359 | 2010-08-17 |
| 1588996920 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 2800 E Highway 114 Ste 200, Trophy Club, TX 76262-5306 | 2010-02-10 |
| 1619119245 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 1201 Arista Dr Ste 101, Rockwall, TX 75032-6860 | 2009-03-27 |
| 1679714455 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 4109 Cagle Dr Ste B, North Richland Hills, TX 76180-8339 | 2009-03-09 |
| 1043464555 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 891 Keller Pkwy Ste 101a, Keller, TX 76248-2486 | 2008-11-11 |
| 1386840593 | Medical Edge Healthcare Group Pa | Clinic/Center | 2701 Prince George Ave., Suite 102, Desoto, TX 75115 | 2007-06-25 |
| 1336294685 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 5501 Gordon Smith Dr, Suite 500, Rowlett, TX 75088-3937 | 2007-01-25 |
| 1114070745 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 9330 Amberton Pkwy Ste 1225, Dallas, TX 75243-3280 | 2007-01-18 |
| 1043387491 | Medical Edge Healthcare Group Pa | Clinic/Center | 4400 Oak Park Ln, Fort Worth, TX 76109-9534 | 2006-11-29 |
| 1245306299 | Medical Edge Healthcare Group Pa | Clinic/Center | 4821 Merlot Ave Unit 240, Grapevine, TX 76051-7386 | 2006-11-28 |
| Street Address |
580 S DENTON TAP RD STE 123 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-4099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972698264 | Barbara A Taylor | Nurse Practitioner | 580 S Denton Tap Rd Ste 123, Coppell, TX 75019-4099 | 2006-10-04 |
| 1245584507 | Rhonda G Bond | Physician Assistant | 580 S Denton Tap Rd Ste 123, Coppell, TX 75019-4099 | 2012-11-07 |
| 1861781692 | Texas Health Physicians Group | Durable Medical Equipment & Medical Supplies | 580 S Denton Tap Rd Ste 123, Coppell, TX 75019-4099 | 2011-04-01 |
| 1427220466 | Jodi Miller | Registered Nurse | 580 S Denton Tap Rd Ste 123, Coppell, TX 75019-4099 | 2008-03-31 |
| 1194933739 | Anu Sury | Family Medicine | 580 S Denton Tap Rd Ste 123, Coppell, TX 75019-4099 | 2007-05-18 |
| 1487725610 | Thomas Tennant | Family Medicine | 580 S Denton Tap Rd Ste 123, Coppell, TX 75019-4099 | 2006-11-10 |
| 1760577043 | Kelly R Cook | Physician Assistant | 580 S Denton Tap Rd Ste 123, Coppell, TX 75019-4099 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821527367 | Buoyant Birth | Durable Medical Equipment & Medical Supplies | 556 S Coppell Rd Ste 102, Coppell, TX 75019-3982 | 2017-06-08 |
| 1073069712 | Principal Homecare | Durable Medical Equipment & Medical Supplies | 737 Cardinal Lane, Coppell, TX 75019 | 2016-09-01 |
| 1831350230 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1000 E Sandy Lake Rd, Coppell, TX 75019-3111 | 2008-06-19 |
| 1093995417 | Davita Rx, LLC | Durable Medical Equipment & Medical Supplies | 1234 Lakeshore Dr Ste 200, Coppell, TX 75019-4980 | 2007-11-14 |
| 1700085354 | Duramedical | Durable Medical Equipment & Medical Supplies | 601 Canyon Dr, Suite 100, Coppell, TX 75019-3859 | 2007-07-13 |
| 1518030139 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 950 E Sandy Lake Rd, Coppell, TX 75019-3109 | 2006-11-15 |
| 1588679542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 313 N Denton Tap Rd, Coppell, TX 75019-2914 | 2006-07-29 |
| 1861781692 | Texas Health Physicians Group | Durable Medical Equipment & Medical Supplies | 580 S Denton Tap Rd Ste 123, Coppell, TX 75019-4099 | 2011-04-01 |
| 1811102221 | Coppell Spine & Sports Rehab Limited Partnership | Durable Medical Equipment & Medical Supplies | 580 S Denton Tap Rd, Suite 100, Coppell, TX 75019-4098 | 2007-05-11 |
| 1538196969 | Davita Rx LLC | Durable Medical Equipment & Medical Supplies | 1234 Lakeshore Dr, Ste 200, Coppell, TX 75019-4971 | 2006-06-28 |
| Find all providers in COPPELL | ||||
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| 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.