NPIMap

Organization Active NPI

Medical Edge Healthcare Group PA

  • Radiation Oncology Clinic/Center
  • McKinney, TX
National Provider Identifier
1225214513
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
R31452 Issued in TX
Legal business name
MEDICAL EDGE HEALTHCARE GROUP PA
Practice address
4601 Medical Center Dr
McKinney, TX 75069-1771
Phone
(972) 562-9222
Fax
(972) 562-9211
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clay Heighten
Title
President
Phone
(972) 739-3001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X R31452 TX Primary

Addresses

Primary practice location

4601 Medical Center Dr
McKinney, TX 75069-1771

Mailing address

PO Box 650268
Dallas, TX 75265-0268
Phone (888) 238-9671

Other identifiers 1

IdentifierTypeStateIssuer
200384001MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1225214513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650268",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650268",
            "telephone_number": "888-238-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MEDICAL CENTER DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691771",
            "telephone_number": "972-562-9222",
            "fax_number": "972-562-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EDGE HEALTHCARE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "HEIGHTEN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-739-3001"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "TX",
            "license": "R31452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200384001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.