NPIMap

Organization Active NPI

Methodist Hospitals of Dallas

Doing business as Methodist Celina Medical Center

  • General Acute Care Hospital
  • Celina, TX
National Provider Identifier
1073294740
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
METHODIST HOSPITALS OF DALLAS
Doing business as
Methodist Celina Medical Center
Practice address
1500 S Dallas Pkwy
Celina, TX 75009
Phone
(214) 947-4180
NPI assigned
Jul 26, 2023
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Craig Allen Bjerke
Title
Evp Finance / Cfo
Phone
(214) 947-4512

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Multi-Specialty Clinic/Center 261QM1300X NU
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

1500 S Dallas Pkwy
Celina, TX 75009

Mailing address

PO Box 911875
Dallas, TX 75391-1875

Other practice location 1

1530 S Dallas Pkwy
Celina, TX 75009
Phone (214) 947-4180

Other names 1

  • Methodist Celina Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227001111 TX Part A Provider - Hospital 5294646451 Practice locations: Celina, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073294740. Details of each certification follow.

Hospital certification: CCN 670340

Legal name
METHODIST HOSPITALS OF DALLAS
Doing business as
METHODIST CELINA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 10, 2025
Last certification
Apr 10, 2025
Beds
51
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 18, 1935 in TX
Enrollment address
1500 S Dallas Pkwy
Celina, TX 75009-3495
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Methodist Celina Medical CenterCCN 670340 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2317178Methodist Celina Medical Center1500 S. Dallas Pkwy, Celina, TX 75009AccreditationJan 6, 2028
45D2325632Methodist Celina Medical Center1500 S. Dallas Pkwy, Celina, TX 75009Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Methodist Medical Cente10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1530 S Dallas Pkwy
Celina, TX 75009
Phone (214) 947-4180

1411 N Beckley Ave
Ste 261
Dallas, TX 75203
Phone (214) 947-1800

1441 N Beckley Ave
#2
Dallas, TX 75203
Phone (214) 947-8181

1441 N Beckley Ave
Ste 259
Dallas, TX 75203
Phone (214) 947-4699

3500 W Wheatland Rd
Ste 890
Dallas, TX 75237
Phone (214) 942-5733

1977 N Collins Blvd
Richardson, TX 75080
Phone (469) 204-6962

3001 George Bush Hwy
Ste 210
Richardson, TX 75082
Phone (469) 204-6100

375 Municipal Dr
Ste 132
Richardson, TX 75080
Phone (214) 766-4939

Ownership & related parties

All disclosed owners & managing parties 34

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amy Bodwell Individual W-2 Managing EmployeeSVP Finance Aug 29, 2011
John Oliphint Individual Corporate DirectorBoard Director Mar 23, 2021
John Patrick Faubion Individual Corporate DirectorBoard Director Nov 22, 2016
Larry Michael McKee Individual Corporate DirectorBoard Director Jun 27, 2017
Keith Payne Boone Individual Corporate DirectorBoard Director Nov 22, 2016
Marcus Knight Individual Corporate DirectorBoard Director Mar 24, 2020
Julie Yarbrough Individual Corporate DirectorBoard Director Jun 23, 2009
David R McAtee Individual Corporate DirectorBoard Director Mar 26, 2013
Carol B Norton Individual Corporate DirectorBoard Director Mar 28, 2023
Jamie Wickliffe Individual Corporate DirectorBoard Director Mar 26, 2024
Brenda L Jackson Individual Corporate DirectorBoard Director Sep 23, 2014
Bernard P Difiore Individual Corporate DirectorBoard Director Mar 22, 2016
Levi H Davis Individual Corporate DirectorBoard Director Jan 22, 2002
Pamela Stoyanoff Individual Corporate OfficerPresident Mar 1, 2007
Ruben L Velez Individual Corporate DirectorBoard Director Jan 23, 2001
Delia Jasso Individual Corporate DirectorBoard Director Mar 28, 2023
Methodist Hospitals of Dallas Organization, Dallas, TX Non-profit 5% Or Greater Direct Ownership Interest Jul 26, 2024
Operational/Managerial Control Jul 26, 2024
Donald Williams Individual Corporate DirectorBoard Director Jul 25, 2023
John R Candey Individual Corporate DirectorBoard Director Jan 27, 2009
Gerald Bright Individual Corporate DirectorBoard Director Mar 27, 2018
Yon Jorden Individual Corporate DirectorBoard Director Mar 28, 2023
Robert S Folsom Individual Corporate DirectorBoard Director Mar 25, 2008
Michael O Price Individual Corporate OfficerClo & Evp Dec 7, 2000
Mae Helen Giddings Individual Corporate DirectorBoard Director Mar 24, 2020
Michael L Finch Individual Corporate DirectorBoard Director Mar 24, 2020
Kenneth Govan Individual Corporate DirectorBoard Director Mar 23, 2021
Ruben Saenz, Jr. Individual Corporate DirectorBoard Director Mar 28, 2023
Joseph B Fortson Individual Corporate DirectorBoard Director Oct 1, 1982
Timothy Griffy Individual Corporate DirectorBoard Director Mar 24, 2020
John M Willis Individual Corporate DirectorBoard Director Nov 1, 2022
Duncan T Fulton Individual Corporate DirectorBoard Director Apr 20, 2010
Craig Bjerke Individual Corporate OfficerCfo/Officer Oct 1, 2018
Alan Walne Individual Corporate DirectorBoard Director Mar 28, 2023
James C Scoggin Individual Corporate OfficerCeo/Officer Apr 22, 2019

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Methodist Dallas Medical CenterDallas, TX, CCN 450051 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 1984
Jul 1, 1984
Methodist Charlton Medical CenterDallas, TX, CCN 450723 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 1984
Jul 1, 1984
Methodist Mansfield Medical CenterMansfield, TX, CCN 670023 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 1, 2006
Dec 1, 2006
Methodist Rehabilitation HospitalDallas, TX, CCN 673031 Hospital 5% Or Greater Direct Ownership Interest (68.25%) Jan 21, 2008
Methodist McKinney HospitalMcKinney, TX, CCN 670069 Hospital 5% Or Greater Direct Ownership Interest (46.5%) Jul 1, 2023
Methodist Hospital for SurgeryAddison, TX, CCN 670073 Hospital 5% Or Greater Indirect Ownership Interest (41%) Jul 1, 2023
Methodist Richardson Medical CenterRichardson, TX, CCN 450537 Hospital Operational/Managerial Control Oct 1, 2011
Methodist Richardson Medical CenterRichardson, TX, CCN 45S537 Hospital Operational/Managerial Control Oct 1, 2011
Methodist Midlothian Medical CenterMidlothian, TX, CCN 670300 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 10, 2018
Sep 10, 2018
Methodist Southlake Medical CenterSouthlake, TX, CCN 670132 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2021
Forvis Mazars, LLPDesoto, TX, CCN 676492 Skilled nursing facility 5% Or Greater Direct Ownership Interest (51%)
Operational/Managerial Control
Adp of the SNF		 Nov 1, 2019
Apr 1, 2018
Mar 15, 2020

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 75

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1073294740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911875",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DALLAS PKWY",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "75009",
            "telephone_number": "214-947-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 S Dallas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "TX",
            "postal_code": "75009",
            "country_code": "US",
            "telephone_number": "214-947-4180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METHODIST HOSPITALS OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "BJERKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "EVP FINANCE / CFO",
        "authorized_official_telephone_number": "214-947-4512"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Celina Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Methodist Celina Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Celina, TX

Sources for this page

Verify at the official NPI Registry.