MEDICAL EDGE HEALTHCARE GROUP PA (NPI# 1366750390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366750390 |
Entity Type | Organization |
Organization Name | MEDICAL EDGE HEALTHCARE GROUP PA |
Other Organization Name | GREENVILLE HEALTHCARE ASSOCIATES |
Practice Address |
4101 Wesley St Ste C Greenville TX 75401-5635 |
Practice Telephone | 9034548111 |
Practice Fax Number | 9034541680 |
Mailing Telephone | 9034548111 |
Mailing Fax Number | 9034541680 |
Enumeration Date | 2010-09-24 |
Last Update Date | 2010-09-24 |
Authorized Official Name | CLAY HEIGHTEN (PRESIDENT) |
Authorized Official Telephone | 9727393001 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Greenville Healthcare Associates | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023323805 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 221 W Colorado Blvd Ste 108, Pavilion 1, Dallas, TX 75208-2359 | 2010-08-17 |
1588996920 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 2800 E Highway 114 Ste 200, Trophy Club, TX 76262-5306 | 2010-02-10 |
1619119245 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 1201 Arista Dr Ste 101, Rockwall, TX 75032-6860 | 2009-03-27 |
1679714455 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 4109 Cagle Dr Ste B, North Richland Hills, TX 76180-8339 | 2009-03-09 |
1043464555 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 891 Keller Pkwy Ste 101a, Keller, TX 76248-2486 | 2008-11-11 |
1386840593 | Medical Edge Healthcare Group Pa | Clinic/Center | 2701 Prince George Ave., Suite 102, Desoto, TX 75115 | 2007-06-25 |
1336294685 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 5501 Gordon Smith Dr, Suite 500, Rowlett, TX 75088-3937 | 2007-01-25 |
1114070745 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 9330 Amberton Pkwy Ste 1225, Dallas, TX 75243-3280 | 2007-01-18 |
1043387491 | Medical Edge Healthcare Group Pa | Clinic/Center | 4400 Oak Park Ln, Fort Worth, TX 76109-9534 | 2006-11-29 |
1245306299 | Medical Edge Healthcare Group Pa | Clinic/Center | 4821 Merlot Ave Unit 240, Grapevine, TX 76051-7386 | 2006-11-28 |
Street Address |
4101 WESLEY ST STE C |
City | GREENVILLE |
State | TX |
Zip Code | 75401-5635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194797712 | Elizabeth J Wiley | Nurse Practitioner | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2006-02-07 |
1740896539 | Sarah Lou Mccrary | Nurse Practitioner | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2020-09-17 |
1700350451 | Krystal Dawn Lowry | Nurse Practitioner | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2019-01-16 |
1073016556 | Chasity Neece | Nurse Practitioner | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2018-03-12 |
1326410994 | Premier Greenville Associates Pa | Family Medicine | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2015-10-22 |
1215226048 | Texas Health Physicians Group | Durable Medical Equipment & Medical Supplies | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2011-04-01 |
1659699007 | Dee Gordon Mccrary IIi | Podiatrist | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2010-05-10 |
1366776411 | Brucealynea Joy Knowlton | Nurse Practitioner | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2009-09-22 |
1578512505 | Karen Hunt Butcher | Psychologist | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2006-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
Find all providers in zip 75401 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750901674 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 100 Wade Hampton Blvd, Greenville, SC 29609-5735 | 2020-04-21 |
1437781200 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1005 Wh Smith Blvd, Greenville, NC 27834-5052 | 2020-02-10 |
1871124925 | Affordable Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1200 Woodruff Rd # A3126, Greenville, SC 29607-5730 | 2020-01-28 |
1427606110 | Home Delivery Incontinent Supplies Co. Inc. | Durable Medical Equipment & Medical Supplies | 1029 Old Creek Rd, Greenville, NC 27834-8178 | 2019-08-27 |
1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
1649710625 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 705 Greenville Blvd Se, Greenville, NC 27858 | 2017-02-24 |
1114479433 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 1746 Mississippi State Highway 1 South Suite C, Greenville, MS 38701-7817 | 2016-11-03 |
1376095752 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2602 Courtier Dr Ste 2200, Greenville, NC 27834-7818 | 2016-11-01 |
1588029094 | Reid Hospital & Health Care Services, Inc | Durable Medical Equipment & Medical Supplies | 999 Sweitzer St, Suite A, Greenville, OH 45331-1090 | 2015-12-28 |
1588059497 | Super Duper Inc | Durable Medical Equipment & Medical Supplies | 5201 Pelham Rd, Greenville, SC 29615-5723 | 2015-03-30 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 75401 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.