Medhealth

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDHEALTH

Doing business as

Methodist Medical Group

Practice address

4560 Lake Ridge Pkwy Ste 300
Grand Prairie, TX 75052-1706

Phone

(817) 453-3500

Fax

(817) 453-3520

NPI assigned

Oct 25, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Kenyon

Title

Credentialing Manager

Phone

(214) 947-4523

Specialties & licenses 1

Addresses

Other names 1

• Methodist Medical Group Doing business as

Tax ID family

Medhealth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medhealth

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1306339387
  NPD tax ID

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1649042417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 LAKE RIDGE PKWY STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521706",
            "telephone_number": "817-453-3500",
            "fax_number": "817-453-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 LAKE RIDGE PKWY STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521706",
            "telephone_number": "817-453-3500",
            "fax_number": "817-453-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "214-947-4523"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Med Southwest, PLLC (MyEyeDr.)
• Med-Depot, Inc.
• Medconnect Healthcare LLC
• Medhealth
• Medhealth (Methodist Medical Group)
• Medi-Take
• Medical and Specialty Transport EMS, LLC
• Medical Plus Supplies, Inc.
• Medical Supplies RX
• Medical Technology, Inc. (Bledsoe Brace Systems)

• Durable Medical Equipment & Medical Supplies in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.