Metdalspi, LLC
Organization Active NPI General Acute Care Hospital · Addison, TX
NPI 1023338142 · NPPES record last updated Aug 16, 2023
Key facts
- NPI
- 1023338142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- METDALSPI, LLC
- Practice address
- 17101 Dallas Parkway
Addison, TX 75001-7103 - Phone
- (469) 248-3900
- Fax
- (469) 248-3901
- NPI assigned
- Jun 11, 2010
- Organization subpart
- No
Authorized official
- Name
- Jennifer Boyd Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5954
Owners & managing parties with NPI records 8
Member of 3
Facilities with the same owner 33
Practitioners 43
-
Janice Abbott, PT, MS, CHT
-
Joshua Leon Buis, MPT
-
Kari Burgoyne, DPT
-
Scott Cloud, PT
-
Thomas Alan Domino, PT, SCS, CSCS
-
Marie Fischer, OTR
-
Olivia Haggerty, DPT
-
Deana L. Hicks, P.T.
-
Jennifer Infante, PT
-
Gary A Kearns, PT
-
Ryan Patrick Lucas, DPT
-
Robert Ray Luedtke, ATC,LAT
-
Emily Haiden McCombs, PT, DPT
-
Marcos Alfredo Parga, M.P.T.
Affiliated clinicians 277
-
Jason Donald Alder, M.D.
-
J Stephen Appleton Jr., M.D.
-
Thaddeus Ashmore, MD
-
Denise Cantu Bannister, M.D.
-
David W Barnett, M.D.
-
Jean Louis Benae, M.D
-
Jay Stuart Bender, M.D.
-
Sheena Bhuva, M.D.
-
Shaad B Bidiwala, M.D
-
David K. Billman, MD
-
Amby Jeet Bindra, MD
-
Stephen Carter Bird, D.O.
-
David Gregory Bonnet, M.D.
-
James W Brodsky, MD
-
Scott A. Bundy, M.D.
Medicare Care Compare: Hospital
- Listed as
- Methodist Hospital for Surgery
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2013404 | Methodist Hospital for Surgery | Compliance | Feb 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 670073
- Legal name
- METDALSPI LLC
- Doing business as
- METHODIST HOSPITAL FOR SURGERY
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Dec 1, 2010
- Last certification
- Oct 13, 2022
- Beds
- 32
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 22, 2008 in TX
- Enrollment address
- 17101 Dallas Pkwy
Addison, TX 75001-7103 - Hospital subgroups
- General
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| SP Holdco I Inc |
5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 10% |
| Jennifer B Baldock |
Corporate Officer |
Jul 1, 2023 | |
| SP Management Services Inc |
Operational/Managerial Control | Jul 1, 2023 | |
| Edward Sopiarz |
Corporate Officer |
Jan 1, 2019 | |
| W-2 Managing Employee |
Jan 1, 2019 | ||
| Surgery Partners Inc |
5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 10% |
| Methodist Hospitals of Dallas |
5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 41% |
| Thomas E. Klawiter |
Corporate Officer |
Aug 6, 2018 | |
| W-2 Managing Employee |
Aug 6, 2018 | ||
| Surgery Center Holdings Inc |
5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 10% |
| Surgery Center Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 10% |
| Metdalspi Holding |
5% Or Greater Direct Ownership Interest | Oct 29, 2008 | 51% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100805000457 | TX | Part a Provider - Hospital | 1658404025 | Practice locations: Richardson, TX; Plano, TX; Denton, TX; Dallas, TX; Addison, TX |
National Provider Directory
Locations
17101 Dallas Pkwy
Ste 250
Addison, TX 75001
Phone (972) 685-7330
17051 Dallas Pkwy
Ste 210
Addison, TX 75001
Phone (972) 685-7345
17051 Dallas Pkwy
Ste 430
Addison, TX 75001
Phone (469) 248-3962
17101 Dallas Pkwy
Ste 210
Addison, TX 75001
Phone (469) 248-3914
3733 N Josey Ln
Ste 100
Carrollton, TX 75007
Phone (972) 395-7445
7616 LBJ
Ste 515
Dallas, TX 75251
Phone (214) 382-2997
3500 Oak Lawn Ave
Ste 105
Dallas, TX 75219
Phone (214) 242-8904
4210 Mesa Dr
Denton, TX 76207
Phone (940) 320-6219
5680 Frisco Square Blvd
Ste 2700
Frisco, TX 75034
Phone (469) 283-0143
3012 Communications Pkwy
Ste 100
Plano, TX 75093
Phone (469) 467-6868
2301 Coit Rd
Plano, TX 75075
Phone (972) 599-9191
375 Municipal Dr
Ste 108
Richardson, TX 75080
Phone (214) 575-4040
910 E Southlake Blvd
Ste 165
Southlake, TX 76092
Phone (214) 496-0500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
17101 Dallas Parkway
Addison, TX 75001-7103
Mailing address
17101 Dallas Parkway
Addison, TX 75001-7103
Phone (469) 248-3900
Other names
- Methodist Hospital for Surgery
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- Metis Genetics, LLC
- Metronow Transportation Services LLC.
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- Brandy Nicole Metz
All providers in Addison, TX · General Acute Care Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.