Medhealth

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDHEALTH

Doing business as

Methodist Brain and Spine Institute/Mansfield

Practice address

252 Matlock Rd Ste 234
Mansfield, TX 76063-4294

Phone

(214) 948-2076

Fax

(214) 948-9990

NPI assigned

Oct 18, 2012

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 Brain and Spine Institute/Mansfield Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Methodist Hospitals of Dallas

  dba Methodist Charlton Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1720331507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W WHEATLAND RD",
            "address_2": "PAV III STE#360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374418",
            "telephone_number": "214-884-4700",
            "fax_number": "214-884-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MATLOCK RD STE 234",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634294",
            "telephone_number": "214-948-2076",
            "fax_number": "214-948-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2019-11-19",
        "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 Brain and Spine Institute/Mansfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Methodist Brain and Spine Institute/Mansfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Gay McMillan, MS, LPC
• Jamye McMillin
• MDC 14 Partners, LLC (Liberty Dialysis - Mansfield)
• Koren Candace Meacham, MSN, NNP-BC
• Medhealth
• Medical Expense Division, Inc. (Arlington Pain and Therapy)
• Medical Transit Connection
• Melissa Ashley Medina-Longbine, LCSW
• Crystal Maureen Meehan
• Gary Wayne Meeks, D.C.

• Durable Medical Equipment & Medical Supplies in Mansfield, TX
• Providers in Mansfield, 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 Nov 19, 2019; 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.