TPG Hospital LLC
Organization Active NPI General Acute Care Hospital · Oklahoma City, OK
NPI 1942260971 · NPPES record last updated Feb 14, 2025
Key facts
- NPI
- 1942260971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 2329 (OK)
- Legal business name
- TPG HOSPITAL LLC
- Practice address
- 9204 N May Ave
Oklahoma City, OK 73120-4419 - Phone
- (405) 848-1918
- Fax
- (405) 848-7537
- NPI assigned
- Mar 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Nicholas Crafts
- Title
- Officer / Authorized Official
- Phone
- (832) 469-4713
Owners & managing parties with NPI records 10
-
Brett Alan Braly, MD
-
Brady S Hagood, M.D.
-
Christopher Shane Hume, D.O.
-
Edwin Kim King, DO
-
Ryan Lee Nelson, DO
-
Michael Sean Obrien, D.O.
-
Qualls E Stevens, DO
-
Robert S Unsell, MD
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Member of 4
Member organizations 1
Facilities with the same owner 94
Practitioners 21
-
Douglas P Beall, MD
-
Bryan Dean Cogar, M.D.
-
Zeeshan Khan, MD
-
Philip Nathan Mayer, NP-C
-
Josh E McWilliams, M.D.
-
Ryan Kenneth Norris, D.O.
-
Eva Sawheny, M.D.
-
Matthew S Bertus, P.A.
-
Wade Bittle, P.A.-C
-
Crystal A Mahana, PA-C
-
Randall Ashley Pape, PA-C
-
Dave Michael Wilcox, PA-C
Affiliated clinicians 32
-
Jeremy Almon, MD
-
Roy W. Bankhead, MD
-
Aaron Benham, MD
-
Ashley B Bowen, M.D.,M.B.A.
-
Erica Buel, CRNA
-
Robin J Deck, CRNA
-
Robert Ethel, M.D., MBS
-
Matthew Fenton, CRNA
-
Johnny D Hickson III, M.D.
-
Meredith P Jackson, CRNA
-
Dathan D Jay, M.D.
-
Evan W Luttrell, CRNA
-
Jarod Michael Medved, CRNA
-
Robert Lynn Nesselrode, M.D.
-
Daniel Parker, M.D.
-
Karlee Jo Pfaff, PA-C
-
Benjamin D Pitman, M.D.
-
Robert M Rhodes, M.D.
Medicare Care Compare: Hospital
- Listed as
- Northwest Surgical Hospital
- Type
- Acute Care Hospitals
- Ownership
- Physician
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK
Hospital certification: CCN 370192
- Legal name
- TPG HOSPITAL LLC
- Doing business as
- NORTHWEST SURGICAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jan 25, 1994
- Last certification
- Jul 23, 2020
- Beds
- 9
- Ownership / control type
- Physician ownership
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 29, 2004 in OK
- Enrollment address
- 9204 N May Ave
TPG Hospital LLC
Oklahoma City, OK 73120-4419 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 28
| Name | Role | Since | Share |
|---|---|---|---|
| United Surgical Partners International Inc |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| Brady S Hagood |
Corporate Director | Feb 25, 2021 | |
| Tenet Healthcare Corporation |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| Barry L Northcutt |
Corporate Director | Feb 25, 2021 | |
| Ashley Rene Harroz |
Corporate Director | Feb 25, 2021 | |
| Hpi Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| Michael Sean O'Brien |
Corporate Officer |
Feb 25, 2021 | |
| Corporate Director | Feb 25, 2021 | ||
| Usp Domestic Holdings Inc |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| Brett a Braly |
Corporate Officer |
Feb 25, 2021 | |
| Corporate Director | Feb 25, 2021 | ||
| Robert S. Unsell |
Corporate Director | Feb 25, 2021 | |
| Usp Okc, Inc. |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| Healthcare Partners Investments LLC |
5% Or Greater Direct Ownership Interest | Nov 2, 2018 | 100% |
| Edwin K. King |
Corporate Director | Feb 25, 2021 | |
| United Surgical Partners Holdings Inc |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| Integris/Usp Health Ventures, LLC |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| Operational/Managerial Control | Nov 1, 2018 | ||
| Steve Taylor |
W-2 Managing Employee |
Feb 28, 2013 | |
| Integris Ambulatory Care Corporation |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| Hpi Physician Holdco LLC |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| Nicholas Crafts |
Corporate Director |
Jun 1, 2023 | |
| W-2 Managing Employee | Jun 1, 2023 | ||
| Ryan Lee Nelson |
Corporate Director | Feb 25, 2021 | |
| Uspi Holding Company Inc |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| David C Rogers |
W-2 Managing Employee |
Aug 1, 2025 | |
| Uspi Group Holdings Inc |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| Deborah Kearns |
Corporate Officer |
Feb 25, 2021 | |
| Corporate Director | Feb 25, 2021 | ||
| Qualls E Stevens |
Corporate Director | Feb 25, 2021 | |
| Uspi Holdings Inc |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| HCN Surgery Center Holdings Inc |
5% Or Greater Indirect Ownership Interest | Nov 2, 2018 | |
| Christopher S Hume |
Corporate Director | Feb 25, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031021000013 | OK | Part a Provider - Hospital | 8729990544 | Practice locations: Oklahoma City, OK |
| O20060209000149 | OK | Part B Supplier - Clinic/Group Practice | 8729990544 |
Receives reassigned benefits from 17 practitioners 1 other NPI on this enrollment Practice locations: Oklahoma City, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2329 | OK | Yes |
Addresses
Primary practice location
9204 N May Ave
Oklahoma City, OK 73120-4419
Mailing address
9204 N May Ave
Oklahoma City, OK 73120-4419
Phone (405) 848-1918
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20035670C | Medicaid | OK |
Other names
- Northwest Surgical Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Oklahoma City, OK
- Sarah Jeanne Towry
- Toxicology Center LLC
- Anita Toyekoyah
- Nana Toyoda
- TPG Hospital LLC
- TPMS PLLC
- Crystal Huynh Trac
- Tracy Calamaio DC PC
- Richard Joseph Traczyk II
- Traditions Health Care of Edmond, LLC
All providers in Oklahoma City, OK · General Acute Care Hospital in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 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.