Cedar Park Health System LLC
Organization Active NPI General Acute Care Hospital · Cedar Park, TX
NPI 1376662296 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1376662296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 008583 (TX)
- Legal business name
- CEDAR PARK HEALTH SYSTEM LLC
- Practice address
- 1401 Medical Pkwy
Cedar Park, TX 78613-7763 - Phone
- (512) 528-7000
- Fax
- (512) 259-9772
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Julie L Holly
- Title
- Director/Delegated Official
- Phone
- (210) 410-2789
Corporate family (same tax ID) 1
Member of 1
Facilities with the same owner 162
Practitioners 41
-
Kimberly Kay Sandoval, R.PH.
-
Charlene Bultmann, D.O.
-
Madeline Cayton, M.D.
-
Brenda Ru-Lan Chao, M.D.
-
Jean Paicurich Cole, M.D.
-
Sameer Gajjar, M.D.
-
Johany Herrera, M.D.
-
Kristy Herrman, M.D.
-
Patrick James Hodges, M.D.
-
Mitchell Dongjun Imm, M.D.
-
Caitlin Jacowski, M.D.
-
Donald Kyle Kelley, M.D.
-
Aaron R Kirkpatrick, M.D.
-
Rasmey Long, M.D.
-
John Daniel Loyd, MD
-
Miranda Gomez McMillin, M.D.
-
Simon K. Michael, M.D.
-
Angee Ong, MD
Affiliated clinicians 339
-
Alan Richard Abando, M.D.
-
Seyed Mohammad Abedi, M.D.,PH.D.
-
Eric M. Acheson, MD
-
Jennifer L Adcock, CRNA
-
Sam Afshar, MD
-
Nikhil Agarwal, M.D.
-
James Ainsworth, APRN-CNP
-
Angela Akin, D.O.
-
Hilmi Alam, M.D.
-
Booth W. Aldred, M.D.
-
Rafael Amaro, M.D.
-
Eric Ryan Andrews, CRNA
-
Sarah S. Avery, M.D.
-
Harsh Babbar, MD
-
Christopher William Bailey, MD, FACS
-
Samantha Kim Barker, N.P
-
John M. Barkley, M.D.
-
Nicole Reyes Basa, M.D.
-
Eva Mosbacher Bashover, M.D.
Medicare Care Compare: Hospital
- Listed as
- Ascension Seton Cedar Park
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1075258 | Ascension Seton Cedar Park | Accreditation | May 8, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 670043
- Legal name
- CEDAR PARK HEALTH SYSTEM LLC
- Doing business as
- ASCENSION SETON CEDAR PARK
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Feb 1, 2008
- Last certification
- Sep 19, 2025
- Beds
- 126
- Ownership / control type
- Private (not for profit)
- Organization structure
- Partnership · Proprietary
- Enrollment address
- 1401 Medical Pkwy
Cedar Park, TX 78613-7763 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| John Thresher |
W-2 Managing Employee |
Aug 12, 2024 | |
| Other |
Aug 12, 2024 | ||
| Sean C Tinney |
W-2 Managing Employee |
Jan 22, 2024 | |
| Andrew Lane |
W-2 Managing Employee |
Feb 17, 2025 | |
| Other |
Feb 17, 2025 | ||
| James Ramzey Youssef |
Corporate Officer |
Jun 1, 2025 | |
| W-2 Managing Employee |
Jun 1, 2025 | ||
| Cedar Park Health System LLC |
Operational/Managerial Control | Jun 30, 2025 | |
| Ascension Seton |
Operational/Managerial Control | Jun 30, 2025 | |
| Ascension Texas |
5% Or Greater Direct Ownership Interest | Jun 30, 2025 | 99% |
| Ashley M Dickinson |
W-2 Managing Employee |
Aug 1, 2023 | |
| Other |
Aug 1, 2023 | ||
| Julie Holly |
W-2 Managing Employee |
Mar 4, 2013 | |
| Operational/Managerial Control |
Mar 4, 2013 | ||
| CP Hospital GP LLC |
5% Or Greater Direct Ownership Interest | Dec 15, 2007 | 1% |
| General Partnership Interest | Dec 15, 2007 | ||
| Operational/Managerial Control | Dec 15, 2007 | ||
| Ascension Health |
Operational/Managerial Control | Jun 30, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071114000432 | TX | Part a Provider - Hospital | 4880782432 | Practice locations: Cedar Park, TX; Leander, TX |
National Provider Directory
- Tax ID family
- Cedar Park Health Systems LP
Locations
1401 Medical Pkwy
Ste C330
Cedar Park, TX 78613
Phone (512) 260-6927
701 E Whitestone Blvd
Ste 210
Cedar Park, TX 78613
Phone (512) 260-6927
1401 Medical Pkwy
Ofc
Cedar Park, TX 78613
1401 Medical Pkwy
Ste C340
Cedar Park, TX 78613
Phone (512) 379-3700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 008583 | TX | Yes |
Addresses
Primary practice location
1401 Medical Pkwy
Cedar Park, TX 78613-7763
Mailing address
1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192622201 | Medicaid | TX |
Other names
- ASCENSION SETON CEDAR PARK
Other providers in Cedar Park, TX
- Cedar Park Express Pharmacy Inc.
- Cedar Park Express Pharmacy Inc.
- Cedar Park Eye Care PA
- Cedar Park Family Chiropractic
- Cedar Park Family Practice, P.a.
- Cedar Park Health Systems LP
- Cedar Park Mindfulness Counseling
- Cedar Park Modern Dentistry, PC
- Cedar Park Oncology Clinic
- Cedar Park Pediatric and Family Medicine
All providers in Cedar Park, 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 5, 2025. 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.