NPIMap

Organization Active NPI

Baptist Hospitals of Southeast Texas

Doing business as Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
National Provider Identifier
1093744187
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000389 Issued in TX
Legal business name
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
Doing business as
Baptist Beaumont Hospital
Practice address
3080 College St
Beaumont, TX 77701-4606
Phone
(409) 212-6149
Fax
(409) 212-6063
NPI assigned
Jul 1, 2006
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Mr. Justin Doss
Title
Ceo
Phone
(409) 212-5012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 000389 TX Primary

Addresses

Primary practice location

3080 College St
Beaumont, TX 77701-4606

Mailing address

P O Box 974599
Dallas, TX 75397-4599
Phone (409) 212-6149

Other identifiers 7

IdentifierTypeStateIssuer
094148602OtherTXAMERIGROUP
450346OtherTXWORKERSCOMP
500012OtherTXMHHNP
1731242MedicaidTX
HH0450OtherTXBLUE CROSS BLUE SHIELD TX
094148601MedicaidTX
094148602MedicaidTX

Other names 1

  • BAPTIST BEAUMONT HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040915000492 TX Part A Provider - Hospital 9335123033 Practice locations: Port Arthur, TX; Orange, TX; Lumberton, TX; Jasper, TX; Beaumont, TX
O20060918000386 TX Part A Provider - Hospital 9335123033 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beaumont, TX; Orange, TX
O20060918000389 TX Part A Provider - Hospital 9335123033 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beaumont, TX; Orange, TX

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1093744187. Details of each certification follow.

Hospital certification: CCN 450346

Legal name
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
Doing business as
BAPTIST BEAUMONT HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 10, 2024
Beds
483 (401 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 24, 1945 in TX
Enrollment address
3080 College St
Beaumont, TX 77701-4606
Main/Primary Hospital Location
Hospital subgroups
Acute care

Hospital certification: CCN 45T346

Legal name
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
Doing business as
BAPTIST BEAUMONT HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Nov 24, 1945 in TX
Enrollment address
3080 College St
Beaumont, TX 77701-4606
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Rehabilitation unit

Hospital certification: CCN 45S346

Legal name
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
Doing business as
BAPTIST BEAUMONT HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Nov 24, 1945 in TX
Enrollment address
3250 Fannin St
Beaumont, TX 77701-3903
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Baptist Beaumont HospitalCCN 450346 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Memorial Hermann Baptist BeaumontCCN 45T346 · All quality measures
Ownership
Non-profit
Certified
Aug 25, 2004

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 31

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

NameRoleSinceShare
Hannah M Schiesler Individual W-2 Managing EmployeeDirector of Human Resources Jan 8, 2022
W-2 Managing EmployeeVP of Human Resources Jan 8, 2022
William Paul Toon Individual W-2 Managing EmployeeChief Information Officer Jul 5, 2011
Corporate DirectorBoard Member Jan 1, 2019
Samual Dyson Individual Corporate DirectorMember, Board of Directors Jan 1, 2010
Corporate DirectorBoard Member Jan 1, 2010
Stephanie L Harris Individual W-2 Managing EmployeeDirector of Marketing & Communicati Aug 9, 2021
W-2 Managing EmployeeVP of Marketing & Communicati Aug 9, 2021
Community Hospital Consulting, Inc Organization, Plano, TX Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 1, 2000 100%
Gary Coker Individual Corporate DirectorMember, Board of Directors Jan 1, 2007
Corporate DirectorBoard Member Jan 1, 2007
Kyle Bess Individual Corporate DirectorMember, Board of Directors Jan 1, 2017
Corporate DirectorBoard Member Jan 1, 2019
Sherrie Branick Individual Corporate DirectorMember, Board of Directors Jan 1, 2026
John Adolph Individual Corporate DirectorMember, Board of Directors Jan 1, 2007
Corporate DirectorBoard Member Jan 1, 2007
D'Lana R Barbay Individual Corporate DirectorMember, Board of Directors Jan 1, 2012
Corporate DirectorBoard Member Jan 1, 2012
Garrett Craver Individual W-2 Managing EmployeeAdministrator of Behavioral Health Jan 1, 2023
W-2 Managing EmployeeAdmin of Behavioral Health&Ge Jan 13, 2022
Justin Doss Individual W-2 Managing EmployeeCeo May 3, 2021
Corporate DirectorBoard Member Apr 26, 2021
Corporate DirectorCeo Apr 26, 2021
Ann Scoggin Individual Corporate DirectorMember, Board of Directors Jan 1, 2006
Corporate DirectorBoard Member Jan 1, 2006
Walter Snider Individual Corporate DirectorMember, Board of Directors Jan 1, 2010
Corporate DirectorBoard Member Jan 1, 2010
Sakuntalai Srinanthakumar Individual Corporate DirectorMember, Board of Directors Jan 1, 2004
Corporate DirectorBoard Member Jan 1, 2004
Bryan Chandler Individual Corporate OfficerChief Operating Officer Oct 29, 2021
W-2 Managing EmployeeChief Operating Officer Oct 1, 2000
W-2 Managing EmployeeVice President Business Developm Oct 1, 2000
W-2 Managing EmployeeVP Business Development Oct 1, 2000
John Coates Individual Corporate DirectorMember, Board of Directors Jan 1, 2010
Corporate DirectorBoard Member Jan 1, 2010
Jim Ronald Kendrick Individual Corporate Director Aug 1, 2019
OtherPresident and Ceo Mar 17, 2020
Oscar Jovan Currie Individual Corporate DirectorMember, Board of Directors Jan 1, 2018
Corporate DirectorBoard Member Jan 1, 2019
Christopher D Leavins Individual Corporate DirectorBoard Member Jan 1, 2019
Corporate Officer Jan 1, 2019
Greg Dykeman Individual Corporate DirectorBoard Member Jan 1, 2015
Corporate OfficerBoard Member Jan 1, 2015
Glen E Christensen Individual Corporate OfficerCfo Aug 24, 2025
W-2 Managing EmployeeCfo Aug 24, 2025
Terry Whiddon Individual Corporate DirectorMember, Board of Directors Jan 1, 2007
Corporate DirectorBoard Member Jan 1, 2007
Jimmie Carpenter Individual Corporate DirectorMember, Board of Directors Jan 1, 2006
Corporate DirectorBoard Member Jan 1, 2006
Cheryl M Cook Individual Corporate DirectorMember, Board of Directors Jan 1, 2014
Corporate DirectorBoard Member Jan 1, 2014
Katherine M Degenstein-Gartman Individual Corporate OfficerChief Nursing Officer Mar 31, 2021
W-2 Managing EmployeeCno Mar 31, 2021
Dave Carpenter Individual Corporate DirectorMember, Board of Directors Jan 1, 2010
Corporate DirectorBoard Member Jan 1, 2010
Anthony Brown Individual Corporate DirectorBoard Member Jan 1, 2007
Snehal J Doshi Individual W-2 Managing EmployeeChief of Staff Jan 1, 2024
Gary Rothenberger Individual Corporate DirectorBoard Member Jan 1, 2007
Wilson Weber Individual Corporate DirectorBoard Member Mar 1, 2010

Owners & managing parties with NPI records 3

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

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

Affiliated clinicians 485

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

View all 485

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1093744187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 974599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753974599",
            "telephone_number": "409-212-6149",
            "fax_number": "409-212-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014606",
            "telephone_number": "409-212-6149",
            "fax_number": "409-212-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HOSPITALS OF SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-212-5012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "094148602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERSCOMP",
            "identifier": "450346",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHHNP",
            "identifier": "500012",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1731242",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "HH0450",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094148601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094148602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAPTIST BEAUMONT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.