Organization Active NPI

Medical Edge Healthcare Group PA

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1447565221
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL EDGE HEALTHCARE GROUP PA
Doing business as
Capstone Pain Management
Practice address
7273 Hawkins View Dr
Fort Worth, TX 76132-3921
Phone
(817) 292-8585
Fax
(817) 292-0577
NPI assigned
Aug 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7273 Hawkins View Dr
Fort Worth, TX 76132-3921

Mailing address

7273 Hawkins View Dr
Fort Worth, TX 76132-3921
Phone (817) 292-8585

Other names 1

  • Capstone Pain Management Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1447565221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7273 HAWKINS VIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323921",
            "telephone_number": "817-292-8585",
            "fax_number": "817-292-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7273 HAWKINS VIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323921",
            "telephone_number": "817-292-8585",
            "fax_number": "817-292-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EDGE HEALTHCARE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "HEIGHTEN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-739-3001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capstone Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.