Piney Woods ER II LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

PINEY WOODS ER II LLC

Doing business as

Excel ER

Practice address

120 East Loop 281
Longview, TX 75605

Phone

(903) 553-0911

NPI assigned

Aug 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Kwon, M.D.

Title

Manager

Phone

(903) 553-0911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EXCEL ER Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670194

Legal name

EXCEL ER LONGVIEW

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Apr 28, 2020

Last certification

Apr 28, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

120 E Loop 281
Longview, TX 75605

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffory W Beaty, DO

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1194715888
  NPD

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1467838391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAST LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75605",
            "telephone_number": "903-553-0911",
            "fax_number": "903-236-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75605",
            "telephone_number": "903-553-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEY WOODS ER II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-553-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE HEALTH SERVICES",
            "identifier": "160267",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCEL ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald A Pierson, MD
• Pine Tree Home Health Care, LLC (Choice Homecare of the Pines)
• Pine Tree Isd
• Pine Tree Physical Therapy (PT2)
• Sheryl Pineda, PT
• Piney Woods ER V, LLC (Excel ER)
• Ryan Pinkston
• Pinnacle Implants and Periodontics
• Derrick Pirkey
• Pivotal Transportation

• Emergency Care Clinic/Center in Longview, TX
• Providers in Longview, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.