Medical Edge Healthcare Group PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL EDGE HEALTHCARE GROUP PA

Doing business as

Coppell Family Medical Center

Practice address

580 S Denton Tap Rd Ste 123
Coppell, TX 75019-4099

Phone

(972) 462-0762

Fax

(972) 393-2133

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Addresses

Other names 1

• Coppell Family Medical Center Doing business as

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1730492695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 S DENTON TAP RD STE 123",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194099",
            "telephone_number": "972-462-0762",
            "fax_number": "972-393-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S DENTON TAP RD STE 123",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194099",
            "telephone_number": "972-462-0762",
            "fax_number": "972-393-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EDGE HEALTHCARE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-10-05",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coppell Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Meadows, M.S. CCC-SLP
• Heather Means, PT, DPT
• Med Southwest, PLLC
• Medical Edge Healthcare Group PA
• Medical Edge Healthcare Group PA
• Alanis Medina-Ventura, DC
• Damon Will Meekins, PT
• Melissa V. Rozas, DDS Dentistry for Infants, Children and Teens, P.a
• Andrew Christopher Melton, DPT
• Metroplex Care Group

• Durable Medical Equipment & Medical Supplies in Coppell, TX
• Providers in Coppell, 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 5, 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.