Pine Creek Medical Center LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

008182 Issued in TX

Legal business name

PINE CREEK MEDICAL CENTER LLC

Practice address

9032 Harry Hines Blvd
Dallas, TX 75235-1720

Phone

(214) 231-2273

NPI assigned

May 24, 2005

Last updated

Dec 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lucas Wilson

Title

Cfo

Phone

(214) 572-7132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659374585. Details of each certification follow.

• CCN 450894 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 450894

Legal name

PINE CREEK MEDICAL CENTER LLP

Certification status

Terminated Voluntary: merger or closure, Jul 24, 2019

Provider type (POS)

Hospital – Short-term

Participating since

Apr 13, 2005

Last certification

Dec 7, 2016

Beds

18

Ownership / control type

Private (for profit)

Facility address

9032 Harry Hines Blvd
Dallas, TX 75235

Locations

Practitioners 1

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.

• Terry Keith Gemas, M.D.

  • Orthopaedic Surgery Physician
  • Dallas, TX
  • NPI 1457314536
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1659374585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9032 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351720",
            "telephone_number": "214-231-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9032 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351720",
            "telephone_number": "214-231-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE CREEK MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-572-7132"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "008182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Guadalupe Pina
• Lloyd Christopher Pina, NURSE PRACTITIONER
• Roberto Pina
• Kevin Rubio Pinaroc, RD, LD
• James Samuel Pinckney II, M.D.
• Anna Marie Pineda
• Jenie Sese Pineda
• Mercedes C. Pineda, WHCNP
• Tania Ruby Pineda
• Victoria Saichly Pineda

• General Acute Care Hospital in Dallas, TX
• Providers in Dallas, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.