NPIMap

Organization Active NPI

Medical Edge Healthcare Group PA

Doing business as Patients Comprehensive Cancer Center

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, TX
National Provider Identifier
1760624043
Registry record updated Oct 22, 2009
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
Patients Comprehensive Cancer Center
Practice address
4352 N Josey LN
Carrollton, TX 75010-4602
Phone
(972) 395-1010
Fax
(972) 394-5780
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

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

Addresses

Primary practice location

4352 N Josey LN
Carrollton, TX 75010-4602

Mailing address

4352 N Josey LN
Carrollton, TX 75010-4602
Phone (972) 395-1010

Other names 1

  • Patients Comprehensive Cancer Center 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": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1760624043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4352 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104602",
            "telephone_number": "972-395-1010",
            "fax_number": "972-394-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4352 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104602",
            "telephone_number": "972-395-1010",
            "fax_number": "972-394-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EDGE HEALTHCARE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-10-22",
        "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": "Patients Comprehensive Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.