MEDICAL EDGE HEALTHCARE GROUP PA NPI 1639122021

NPI Information

NPI: 1639122021
Provider Name: MEDICAL EDGE HEALTHCARE GROUP PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9229 LYNDON B JOHNSON FWY STE 250
DALLAS, TX
ZIP 75243
Phone: (972) 739-3001
Get Directions

MEDICAL EDGE HEALTHCARE GROUP PA is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDICAL EDGE HEALTHCARE GROUP PA NPI is 1639122021. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9229 LYNDON B JOHNSON FWY STE 250
DALLAS, TX
ZIP 75243-403
Phone: (972) 739-3001

The provider's authorized official is Clay M. Heighten .
The authorized official title is President and has the following contact phone number (972) 739-3001.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 9/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	111N00000X	Chiropractor		No
4	207R00000X	Internal Medicine		No
5	208D00000X	General Practice		No
6	208600000X	Surgery		No
7	207RG0300X	Internal Medicine	Geriatric Medicine	No
8	207V00000X	Obstetrics & Gynecology		No
9	207RH0003X	Internal Medicine	Hematology & Oncology	No
10	207X00000X	Orthopaedic Surgery		No
11	207LP2900X	Anesthesiology	Pain Medicine	No
12	208100000X	Physical Medicine & Rehabilitation		No
13	363AM0700X	Physician Assistant	Medical	No
14	261QR0200X	Clinic/Center	Radiology	No
15	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0099BH	OTHER	TEXAS	BCBS
2	081500315	MEDICAID	TEXAS
3	DB5501	MEDICARE PIN	TEXAS
4	081500302	MEDICAID	TEXAS
5	081500301	MEDICAID	TEXAS
6	CD7134	MEDICARE PIN	TEXAS
7	DB7885	MEDICARE PIN	TEXAS
8	00X744	MEDICARE PIN	TEXAS
9	186985101	MEDICAID	TEXAS
10	0046AZ	OTHER	TEXAS	BCBS
11	186985103	MEDICAID	TEXAS
12	DE3693	MEDICARE PIN	TEXAS
13	00516N	OTHER	TEXAS	BCBS
14	081500316	MEDICAID	TEXAS
15	0099BH	MEDICARE PIN	TEXAS
16	CG3777	MEDICARE PIN	TEXAS
17	00Y888	MEDICARE PIN	TEXAS
18	CN8341	MEDICARE PIN	TEXAS
19	200384001	MEDICAID	TEXAS
20	DD1816	MEDICARE PIN	TEXAS
21	CG4470	MEDICARE PIN	TEXAS
22	186985102	MEDICAID	TEXAS
23	DA7577	MEDICARE PIN	TEXAS
24	00X840	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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