Organization Active NPI

Orthopedic & Spine Surgical Hospital of South Texas, L.P.

  • General Acute Care Hospital
  • San Antonio, TX
National Provider Identifier
1295890093
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
007868 Issued in TX
Legal business name
ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P.
Practice address
18600 North Hardy Oak Blvd
San Antonio, TX 78258-4206
Phone
(210) 404-0800
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 007868 TX Primary

Addresses

Primary practice location

18600 North Hardy Oak Blvd
San Antonio, TX 78258-4206

Mailing address

18600 Hardy Oak Blvd
San Antonio, TX 78258-4206
Phone (210) 507-4179

Other identifiers 4

IdentifierTypeStateIssuer
158914501MedicaidTX
158914502MedicaidTX
349118800OtherTXDEPARTMENT OF LABOR ACL D
HH1019OtherTXBCBS

Other names 1

  • South Texas Spine & Surgical Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060405000524 TX Part A Provider - Hospital 7416965207 Practice locations: San Antonio, TX

Hospital certification: CCN 450856

Legal name
ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P.
Doing business as
SOUTH TEXAS SPINE & SURGICAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 25, 2002
Last certification
Apr 22, 2022
Beds
30
Ownership / control type
Physician ownership
Organization structure
PartnershipProprietary
Incorporated
Jan 8, 2001 in TX
Enrollment address
18600 N. Hardy Oak Blvd
San Antonio, TX 78258-4206
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
South Texas Spine and Surgical HospitalCCN 450856
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
South Texas Spine Surgical Hospital LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
NSH San Antonio Surgical Hospital, Inc Organization, Brentwood, TN LLC, For-profit General Partnership Interest Feb 1, 2023 1.01%
SP Holdco I Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2023 51.26%
National Surgical Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2023 51.26%
Jennifer B Baldock Individual Corporate OfficerOfficer and Authorized Official Sep 1, 2017
FMR LLC Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Nov 21, 2022 6.77%
Angie M Kauffman Individual W-2 Managing EmployeeAdministrator/Ceo Aug 13, 2018
Apple Horse Holdings, LLC Organization, San Antonio, TX LLC 5% Or Greater Direct Ownership Interest Apr 1, 2019 5.03%
Surgery Partners Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2023 51.26%
Surgery Center Holdings Inc Organization, Brentwood, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Feb 1, 2023 51.26%
Kingfish Partners LTD. Organization, San Antonio, TX For-profit 5% Or Greater Direct Ownership Interest Jan 17, 2001 5.03%
Adam Harris Individual 5% Or Greater Indirect Ownership InterestMD May 1, 2023 8.92%
NSH Texas LLC Organization, Brentwood, TN LLC, For-profit Limited Partnership Interest Feb 1, 2023 50.25%
Harrison R Bane Individual OtherNat'L GRP Pres. & Chain Home Off Sep 1, 2024
Paul T Geibel Individual 5% Or Greater Indirect Ownership Interest Jan 17, 2001 5.03%
Bcpe Seminole Holdings II Intermediate LP Organization, Boston, MA 5% Or Greater Indirect Ownership Interest Mar 31, 2023 12.2%
Surgery Center Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2023 51.26%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 25

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

View all 25

Practitioners & affiliated clinicians

Affiliated clinicians 72

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

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1295890093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 HARDY OAK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584206",
            "telephone_number": "210-507-4179",
            "fax_number": "210-404-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 NORTH HARDY OAK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584206",
            "telephone_number": "210-404-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "007868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158914501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158914502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR ACL D",
            "identifier": "349118800",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH1019",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Texas Spine & Surgical Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Texas Spine & Surgical Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.