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Organization Active NPI

Springhill Medical Services, Inc.

Doing business as Springhill Medical Center Hospital Based Physicians

  • Family Medicine Physician
  • Springhill, LA
National Provider Identifier
1124092481
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
441 Issued in LA
Legal business name
SPRINGHILL MEDICAL SERVICES, INC.
Doing business as
Springhill Medical Center Hospital Based Physicians
Practice address
2001 Doctors Dr
Springhill, LA 71075-4526
Phone
(318) 539-1000
Fax
(318) 539-4085
NPI assigned
Feb 14, 2006
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SPRINGHILL MEDICAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Michael G Patronis
Title
Chief Executive Officer
Phone
(318) 539-1001

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 441 LA Primary
Internal Medicine Physician 207R00000X
Diagnostic Radiology Physician 2085R0202X
Surgery Physician 208600000X

Addresses

Primary practice location

2001 Doctors Dr
Springhill, LA 71075-4526

Mailing address

2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 539-1000

Other identifiers 1

IdentifierTypeStateIssuer
1441601MedicaidLA

Other names 1

  • Springhill Medical Center Hospital Based Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000371 LA Part B Supplier - Clinic/Group Practice 6002728912 Receives reassigned benefits from 34 practitioners
1 other NPI on this enrollment
Practice locations: Sarepta, LA; Springhill, LA

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Springhill Medical Services

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Springhill Medical CenterSpringhill, LA, CCN 190088 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 17, 2000
Springhill Medical CenterSpringhill, LA, CCN 19U088 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 17, 2000
Springhill Medical CenterSpringhill, LA, CCN 19S088 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 17, 2000
Louisiana Homecare / SpringhillSpringhill, LA, CCN 197776 Home health agency 5% Or Greater Direct Ownership Interest (33%) Oct 1, 2018
SMC Doctors ClinicSpringhill, LA, CCN 193466 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 17, 2000
North Webster Medical ClinicSarepta, LA, CCN 193482 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2010

Owned or controlled facilities with NPI records 7

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

Practitioners & affiliated clinicians

Practitioners 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1124092481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 DOCTORS DR",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710754526",
            "telephone_number": "318-539-1000",
            "fax_number": "318-539-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 DOCTORS DR",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710754526",
            "telephone_number": "318-539-1000",
            "fax_number": "318-539-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGHILL MEDICAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRINGHILL MEDICAL SERVICES, INC.",
        "enumeration_date": "2006-02-14",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "PATRONIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "318-539-1001"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "441",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441601",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springhill Medical Center Hospital Based Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springhill, LA

Sources for this page

Verify at the official NPI Registry.