MEDICAL EDGE HEALTHCARE GROUP PA


Address: 399 Melrose Dr Ste A, Richardson, TX 75080-4415
Phone: 9722342000

MEDICAL EDGE HEALTHCARE GROUP PA (NPI# 1740207539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740207539
Entity Type Organization
Organization Name MEDICAL EDGE HEALTHCARE GROUP PA
Practice Address 399 Melrose Dr Ste A
Richardson
TX 75080-4415
Practice Telephone 9722342000
Practice Fax Number 9724214676
Mailing Telephone 9722342000
Mailing Fax Number 9724214676
Enumeration Date 2006-07-16
Last Update Date 2010-10-21
Authorized Official Name CLAY HEIGHTEN (PRESIDENT)
Authorized Official Telephone 9727393001
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
L05688 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 081500316 05

Other Provider IDs and Locations

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

Office Location

Street Address 399 MELROSE DR STE A
City RICHARDSON
State TX
Zip Code 75080-4415

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NPI Name Taxonomy Address Enumeration
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1093231649 Twitches Iom Pllc Electrodiagnostic Medicine 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 2017-08-16
1639690340 Faith Mbarathi Technician, Other 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 2017-07-03
1063933083 Drew Marie Harvick Technician, Other 1702 North Collins Blvd Suite 250, Richardson, TX 75080 2017-06-29
1114447026 Brenda Marie Fitzgerald Massage Therapist 100 S. Central Expressway, #43, Richardson, TX 75080 2017-06-21
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1891319083 Parkhill Imaging Addison LLC Clinic/Center 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 2020-06-03
1669093779 Hi Tech Imaging, LLC Clinic/Center 423 Sw Military Dr, San Antonio, TX 78221-1654 2020-04-29
1861027120 North Star Mcd, LLC Clinic/Center 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 2020-03-06
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Competitor

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City RICHARDSON
Zip Code 75080

Improve Information

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Dataset Information

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.

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