Dallas County Hospital District

Organization Active NPI Women's Health Nurse Practitioner · Dallas, TX

NPI 1558035188 · NPPES record last updated Dec 12, 2022

Key facts

NPI
1558035188
Entity type
Organization (NPI type 2)
Primary specialty
Women's Health Nurse Practitioner 363LW0102X
Legal business name
DALLAS COUNTY HOSPITAL DISTRICT
Practice address
3560 W Camp Wisdom Rd Ste 100
Dallas, TX 75237-2506
Phone
(214) 590-8787
NPI assigned
Aug 6, 2021
Organization subpart
No

Authorized official

Name
Frederick Cerise
Title
President and Ceo
Phone
(214) 590-8006

Other NPIs on the same Medicare enrollment 50

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

View all 50

Corporate family (same tax ID) 24

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

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

Practitioners 942

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

View all 942

Affiliated clinicians 1,656

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

View all 1,656

Medicare Care Compare: Hospital

Listed as
Parkland Health & Hospital System CCN 450015
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX

Hospital certification: CCN 450015

Legal name
DALLAS COUNTY HOSPITAL DISTRICT
Doing business as
PARKLAND HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 14, 2024
Beds
968
Ownership / control type
Hospital district or authority
Organization structure
Other · Non-profit
Enrollment address
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Frederick P Cerise
Individual
Corporate Officer
Chief Executive Officer
Mar 24, 2014 100%
Operational/Managerial Control
President Chief Executive Office
Mar 24, 2014
Gerry Baker
Individual
Corporate Director
Sr VP Revenue Cycle
Apr 29, 2021
W-2 Managing Employee
Sr VP Revenue Cycle
Apr 29, 2021
Dallas County Hospital District
Organization · Dallas, TX
Corporation
Operational/Managerial Control Apr 22, 1966
Errica Brown
Individual
W-2 Managing Employee
Provider Enrollment Program Mana
Oct 13, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040315000583 TX Part B Supplier - Clinic/Group Practice 8325934813 Receives reassigned benefits from 932 practitioners
44 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dallas, TX; Irving, TX; Grand Prairie, TX; Garland, TX; Farmers Branch, TX
O20060918000188 TX Part a Provider - Hospital 8325934813 44 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Dallas County Hospital Dist (95 organizations share this tax ID)

Locations (25 of 42)

710 Cheyenne Rd
Dallas, TX 75217
Phone (214) 266-0258

5151 Maple Ave
#3E
Dallas, TX 75235

501 S Edgefield Ave
Dallas, TX 75208
Phone (972) 502-4000

2200 Dennison St
Dallas, TX 75212
Phone (972) 502-4040

3320 Live Oak St
Dallas, TX 75204
Phone (214) 266-1000

1936 Amelia Ct
Dallas, TX 75235
Phone (214) 590-5632

10034 Hedgeway Dr
Dallas, TX 75229
Phone (214) 266-3140

5184 Tex Oak Ave
Fl 1
Dallas, TX 75235

5151 Maple Ave
#3B
Dallas, TX 75235
Phone (214) 590-5805

1140 Empire Central Pl
Ste 106
Dallas, TX 75247
Phone (214) 951-8669

4900 Harry Hines Blvd
Fl 1
Dallas, TX 75235
Phone (214) 590-1900

5151 Maple Ave
#2C
Dallas, TX 75235
Phone (214) 590-9702

4444 S Hampton Rd
Dallas, TX 75232
Phone (214) 266-1400

5151 Maple Ave
Ste 11678
Dallas, TX 75235
Phone (214) 590-6232

5184 Tex Oak Ave
Fl 2
Dallas, TX 75235

5151 Maple Ave
#3A
Dallas, TX 75235
Phone (214) 590-5582

5151 Maple Ave
#3F
Dallas, TX 75235
Phone (214) 590-6411

5151 Maple Ave
#4B
Dallas, TX 75235

5184 Tex Oak Ave
Fl 3
Dallas, TX 75235
Phone (214) 266-9280

4811 Harry Hines Blvd
Ste C
Dallas, TX 75235
Phone (214) 266-1257

5151 Maple Ave
#4C
Dallas, TX 75235
Phone (214) 590-2926

3803 Boulder Dr
Dallas, TX 75233
Phone (972) 502-4020

5151 Maple Ave
#1B
Dallas, TX 75235
Phone (469) 419-0917

4900 Harry Hines Blvd
Fl 2
Dallas, TX 75235
Phone (214) 590-8139

5151 Maple Ave
#2E
Dallas, TX 75235
Phone (214) 590-5691

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101Y00000X
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
104100000X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X
Neonatal Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LN0000X
Pediatric Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0200X
Women's Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LW0102X Yes
Clinical Nurse Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
364S00000X
Advanced Practice Midwife
Group: 193200000X MULTI-SPECIALTY GROUP
367A00000X

Addresses

Primary practice location

3560 W Camp Wisdom Rd Ste 100
Dallas, TX 75237-2506

Mailing address

PO Box 660599
Dallas, TX 75266-0599

Other names

  • CV Roman Women's Health Center Doing business as

Other providers in Dallas, TX

All providers in Dallas, TX · Women's Health Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.