Texas Spine and Joint Hospital, LLC
Organization Active NPI General Acute Care Hospital · Tyler, TX
NPI 1942292255 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1942292255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 007902 (TX)
- Legal business name
- TEXAS SPINE AND JOINT HOSPITAL, LLC
- Practice address
- 1814 Roseland Blvd
Tyler, TX 75701-4262 - Phone
- (903) 525-3300
- Fax
- (903) 525-3397
- NPI assigned
- Aug 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Donita Fleming
- Title
- Authorized Official
- Phone
- (202) 815-3665
Owners & managing parties with NPI records 6
Member of 3
Member organizations 1
Facilities with the same owner 95
Practitioners 59
-
Hanna Leigh Coyle, FNP
-
Brooke Ellen Dreiss, FNP
-
Janelle A Martinez, APRN
-
Stephanie Adams Mowery, FNP-C
-
Jill Marie Wortham, PA-C
-
Christopher Kirk Bailey, APRN-FNP
-
Tamela Renae Callahan, FNP-C
-
Dana Ann Carns, DNP APRN FNP-C
-
Jessica Lynne Childress, APRN, FNP
-
William J Dreiss, MD
-
Anthony Handoyo, DO
-
Margaret Reese Hayden, M.D.
-
Julie T Haygood, M.D.
-
Adam Hertel, MD
-
Amy Jane Hughes, FNP
-
Maria Stanovic Karlson, FNP-C
-
David C Martin, M.D.,P.A.
Affiliated clinicians 181
-
Mayra Alejandra Avila Acord, RN, AGACNP-BC
-
Julie Adams, NP
-
Alan Dale Ailles, CRNA
-
Jeffery Brian Allen, CRNA
-
Gregory Anderson, MD
-
Lazel B. Augustus, M.D.
-
Justin Hull Bartley, M.D.
-
Yvonne Baum, M.D.
-
David H Beaird, MD
-
Rachel B Bizot, PA
-
Neil Blanchard, M.D.
-
Ashley R Bockmon, FNP
-
Carie Elise Bodnar, ACNPC-AG
-
David Marcos Bowen, M.D.
-
C. Renee Branch, D.O.
-
Darrell Sherman Briggs, M.D.
-
Neal Alton Burgess, PA-C
-
Thomas M Buzbee Jr., M.D.
-
Tamela Renae Callahan, FNP-C
-
Aaron Calodney, M.D.
Medicare Care Compare: Hospital
- Listed as
- Baylor Scott & White Texas Spine & Joint Hospital
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Physician
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1000419 | Baylor Scott & White Texas Spine & Joint Hospital | Accreditation | Feb 13, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Hospital certification: CCN 450864
- Legal name
- TEXAS SPINE AND JOINT HOSPITAL LLC
- Doing business as
- BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Apr 10, 2003
- Last certification
- Aug 23, 2022
- Beds
- 18
- Ownership / control type
- Physician ownership
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 4, 2009 in TX
- Enrollment address
- 1814 Roseland Blvd
Tyler, TX 75701-4234 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| United Surgical Partners International Inc |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | |
| Donita a Fleming |
Corporate Officer | Jul 1, 2023 | |
| Corporate Director | Jul 1, 2023 | ||
| W-2 Managing Employee | Jul 1, 2023 | ||
| Tenet Healthcare Corporation |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | |
| VHS San Antonio Partners LLC |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | |
| Usp Domestic Holdings Inc |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | |
| Texas Health Venture Texas Spine LLC |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | 55.17% |
| Anthony Wahl |
Corporate Officer | Aug 1, 2020 | |
| Corporate Director | Nov 21, 2003 | ||
| W-2 Managing Employee | Jul 1, 2005 | ||
| Usp North Texas Inc |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | |
| Uspi Holding Company Inc |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | |
| Texas Health Ventures Group LLC |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | |
| Operational/Managerial Control | Aug 3, 2017 | 100% | |
| Uspi Group Holdings Inc |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | |
| Uspi Holdings Inc |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | |
| HCN Surgery Center Holdings Inc |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | |
| Houston Northwest Partners LTD |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 | |
| Baylor University Medical Center |
5% Or Greater Indirect Ownership Interest | Aug 3, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050909000892 | TX | Part a Provider - Hospital | 0345272381 | Practice locations: Tyler, TX; Palestine, TX; Longview, TX |
| O20111102000147 | TX | Part B Supplier - Clinic/Group Practice | 0345272381 |
Receives reassigned benefits from 58 practitioners Practice locations: Tyler, TX; Longview, TX; Palestine, TX; Athens, TX |
National Provider Directory
Locations
715 N 4TH St
Longview, TX 75601
Phone (903) 758-8754
909 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 533-1985
5826 New Copeland Rd
Tyler, TX 75703
Phone (903) 570-2473
8101 S Broadway Ave
Tyler, TX 75703
Phone (903) 525-3300
1814 Roseland Blvd
Ste 210
Tyler, TX 75701
Phone (903) 525-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | |||
| General Acute Care Hospital | 282N00000X | 007902 | TX | Yes |
Addresses
Primary practice location
1814 Roseland Blvd
Tyler, TX 75701-4262
Mailing address
1814 Roseland Blvd
Tyler, TX 75701-4262
Phone (903) 525-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162459502 | Medicaid | TX | |
| 162459501 | Medicaid | TX | |
| HH1021 | Other | TX | BCBS |
Other names
- Baylor Scott & White TX Spine & Joint Hos Imaging Ctr
- Baylor Scott & White TX Spine & Joint Hos Sleep Lab
- Baylor Scott & White TX Spine & Joint Hos Sports Med & Therpy Ser
- Baylor Scott & White TX Spine & Joint Hos Sur Ctr
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehr-direct@tsjh.hin.us | Direct | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Tyler, TX
- Texas Health Care Group of Longview, LLC
- Texas Oncology, P.a.
- Texas Palliative Care
- Texas Physical Therapy Services of Tyler, LLC
- Texas Spine and Joint Hospital, LLC
- Hannah Thacker
- Sivagowri Tharmendira
- The Bradley Clinic of Texas, PLLC
- The Breath Clinic LLC
- The Center at Grande, LLC
All providers in Tyler, TX · General Acute Care Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 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.