Medigence Health, Inc.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MEDIGENCE HEALTH, INC.

Practice address

6600 Chase Oaks Blvd Ste 150
Plano, TX 75023-2383

Phone

(817) 313-4507

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Chuck Groseth

Title

Chief Executive Officer

Phone

(214) 675-6762

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1821695255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 CHASE OAKS BLVD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750232383",
            "telephone_number": "817-313-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 CHASE OAKS BLVD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750232383",
            "telephone_number": "817-313-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIGENCE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "GROSETH",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-675-6762",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Plano, TX
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• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.