Active NPI
Medical Edge Healthcare Group PA
- Radiation Oncology Clinic/Center
- Plano, TX
National Provider Identifier
1265470660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Clinic/Center
- License
- R31452
- Legal business name
- MEDICAL EDGE HEALTHCARE GROUP PA
- Practice address
- 6957 W Plano Pkwy Ste 1300
Plano, TX 75093-1621 - Phone
- (972) 820-1400
- Fax
- (214) 820-1020
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clay Heighten, M.D.
- Title
- President
- Phone
- (972) 739-3001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Clinic/Center | 261QX0203X | R31452 | TX | Primary |
Addresses
Primary practice location
6957 W Plano Pkwy Ste 1300
Plano, TX 75093-1621
Mailing address
PO Box 650268
Dallas, TX 75265-0268
Phone (888) 238-9671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200384001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317254400000",
"number": "1265470660",
"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": "6957 W PLANO PKWY STE 1300",
"city": "PLANO",
"state": "TX",
"postal_code": "750931621",
"telephone_number": "972-820-1400",
"fax_number": "214-820-1020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL EDGE HEALTHCARE GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2011-09-29",
"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",
"authorized_official_credential": "M.D."
},
"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 Plano, TX
- Medi-Lynx Monitoring Inc.
- Medical Associates of Plano, P.a.
- Medical Center of McKinney
- Medical Clinic of North Texas, PLLC
- Medical Diagnostic Imaging Group, LTD.
- Medical Edge Healthcare Group PA
- Medical Edge Healthcare Group PA
- Medical Edge Healthcare Group PA
- Medical Health Services PLLC
- Medical Innovations PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.