Henderson Hospital LLC
A Medicare group practice based in Tyler, TX: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4789946054), with 20 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4789946054
- Provider type
- Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TX
- Enrollments
- 3
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20180326002460 | TX | Part B Supplier - Clinic/Group Practice | 1043710437 |
| O20180504000987 | TX | Part A Provider - Rural Health Clinic | 1952800310 |
| O20180515000293 | TX | Part A Provider - Hospital | 1326546797 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Henderson Hospital, LLC
- Internal Medicine Physician
- Henderson, TX
- NPI 1043710437
-
Henderson Hospital, LLC
dba UTHealth East Texas Henderson Hospital
- General Acute Care Hospital
- Henderson, TX
- NPI 1326546797
-
Henderson Hospital, LLC
- Rural Health Clinic/Center
- Henderson, TX
- NPI 1952800310
-
Henderson Hospital, LLC
- Certified Registered Nurse Anesthetist
- Henderson, TX
- NPI 1639670466
Practice locations
- Henderson, TX3
- Tyler, TX3
Clinicians 20
Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (11).
-
Susan Ann Addie, N.P.
- Nurse Practitioner
- Tyler, TX
- NPI 1083596118
-
Gerald J Akpassa, MD
- Emergency Medicine Physician
- Longview, TX
- NPI 1447296975
-
Mariana Allison, NP
- Nurse Practitioner
- Tyler, TX
- NPI 1982301222
-
Jathan Cantu, M.D.
- Family Medicine Physician
- Henderson, TX
- NPI 1932174596
-
Joseph G. Carver, D.O.
- Family Medicine Physician
- Henderson, TX
- NPI 1720408909
-
Lajuan Jones Chambers, MD
- Hospitalist Physician
- McKinney, TX
- NPI 1033156757
-
Joseph Bennett Coopwood, M.D.
- Surgery Physician
- San Antonio, TX
- NPI 1881619203
-
Glena June Davis, D.O.
- Obstetrics & Gynecology Physician
- Henderson, TX
- NPI 1932383981
-
Deepti A Govathoti, MD
- Family Medicine Physician
- Carthage, TX
- NPI 1316190754
-
Dwight M Hall, CRNA
- Certified Registered Nurse Anesthetist
- Henderson, TX
- NPI 1770582736
-
Ladd Craig Hoffman, MD, MBA
- Surgery Physician
- Carthage, TX
- NPI 1134331580
-
Linda B. Mughrabi
- Obstetrics & Gynecology Physician
- Cedar Park, TX
- NPI 1235316449
-
Bruno Armando Romeo Miramon, MD
- Obstetrics & Gynecology Physician
- Henderson, TX
- NPI 1366564148
-
Shawna Elizabeth Sharp, NP
- Nurse Practitioner
- Henderson, TX
- NPI 1255954509
-
Mary J Starling, MD
- Family Medicine Physician
- Henderson, TX
- NPI 1053464610
-
Sheryl Sutfin, FNP-BC
- Family Nurse Practitioner
- Tyler, TX
- NPI 1568900793
-
Amanda Kaye Trubey, MSN, FNP-C
- Family Nurse Practitioner
- Henderson, TX
- NPI 1205569761
-
Gordon Uretsky, MD
- Family Medicine Physician
- Henderson, TX
- NPI 1477512820
-
Upali Sanath Walgama, MD
- Internal Medicine Physician
- Henderson, TX
- NPI 1265577175
-
James A Wheeler, CRNA
- Certified Registered Nurse Anesthetist
- Athens, TX
- NPI 1427263466
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.