McKenzie Welch Medical Group, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MCKENZIE WELCH MEDICAL GROUP, PLLC

Practice address

12001 South Freeway
Suite 302
Burleson, TX 76028

Phone

(817) 854-2210

Fax

(817) 708-2150

NPI assigned

Aug 11, 2020

Last updated

Jul 10, 2024By 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

Dr. Heather McKenzie, MDNPI 1053335059

Title

Owner/Physician

Phone

(817) 854-2210

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather L McKenzie, M.D.

  • Family Medicine Physician
  • Burleson, TX
  • NPI 1053335059
  NPD Authorized official
• Ryann Nicole Gille, NP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1255827192
  NPD (past)
• Debby Louise Polozeck, FNP-C

  • Family Nurse Practitioner
  • Godley, TX
  • NPI 1275786576
  NPD (past)
• Crissy Diane Welch, NP

  • Family Nurse Practitioner
  • Burleson, TX
  • NPI 1629244777
  NPD (past)

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1750992053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FREEWAY",
            "address_2": "SUITE 302",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "fax_number": "817-854-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FREEWAY",
            "address_2": "SUITE 302",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "817-854-2210",
            "fax_number": "817-708-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE WELCH MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "817-854-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1053335059",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "address",
            "affiliation": "N",
            "address_1": "501 Forrest Ln",
            "city": "Joshua",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760584861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Evett Monique McCoy, PTA
• Kimberlee Hope McCoy
• Karen McFarland, RN
• Dody Renee McGrew, COTA
• Cathryn Sheree McHenry, LMFT
• Heather L McKenzie, M.D.
• Kimberly Diane McNabb
• Med Southwest, PLLC (MyEyeDr.)
• Med Southwest, PLLC (MyEyeDr.)
• Medical Edge Healthcare Group PA (Hoffman Family Practice Associates PA)

• Family Medicine Physician in Burleson, TX
• Providers in Burleson, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.