Active NPI
Pittsburg Hospital LLC
- Certified Registered Nurse Anesthetist
- Pittsburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- PITTSBURG HOSPITAL LLC
- Practice address
- 2701 US Highway 271 N
Pittsburg, TX 75686-4289 - Phone
- (903) 946-5000
- NPI assigned
- Aug 21, 2019
- Last updated
- Jan 23, 2020
- Organization subpart
- Yes
- Parent organization
- AHS EAST TEXAS HEALTH SYSTEM LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen C. Petrovich
- Title
- Evp General Counsel
- Phone
- (615) 296-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | Primary |
Addresses
Primary practice location
2701 US Highway 271 N
Pittsburg, TX 75686-4289
Mailing address
1 Burton Hills Blvd Ste 250
Nashville, TN 37215-6195
Phone (615) 296-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180604001525 | TX | Part B Supplier - Clinic/Group Practice | 5597029272 |
Receives reassigned benefits from 19 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mt Pleasant, TX; Pittsburg, TX |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Pittsburg Hospital LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Critical Access Hospital
- Pittsburg, TX
- NPI 1184132524
-
- Rural Health Clinic/Center
- Pittsburg, TX
- NPI 1497254858
-
- Internal Medicine Physician
- Pittsburg, TX
- NPI 1942700331
-
- Family Medicine Physician
- Pittsburg, TX
- NPI 1437799434
-
- Clinic/Center
- Mount Pleasant, TX
- NPI 1851955587
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Certified Registered Nurse Anesthetist
- Sulphur Springs, TX
- NPI 1043218548
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Palestine, TX
- NPI 1174511141
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579737600000",
"number": "1629625017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BURTON HILLS BLVD STE 250",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156195",
"telephone_number": "615-296-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 US HIGHWAY 271 N",
"city": "PITTSBURG",
"state": "TX",
"postal_code": "756864289",
"telephone_number": "903-946-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PITTSBURG HOSPITAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AHS EAST TEXAS HEALTH SYSTEM LLC",
"enumeration_date": "2019-08-21",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A",
"authorized_official_last_name": "PETROVICH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "EVP GENERAL COUNSEL",
"authorized_official_telephone_number": "615-296-3000"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, TX
- Stayce Wade Phillips, PTA
- Leonard Pingatore, RPH
- Curtis Oscar Pitton, MA, LPC
- Pittsburg Hospital LLC
- Pittsburg Hospital LLC
- Pittsburg Hospital LLC
- Pittsburg Hospital, LLC
- Pittsburg Independent School District
- Pittsburg Nursing Center, L.P. (Pittsburg Nursing Center)
- Pittsburg SNF LLC (Pittsburg Nursing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.