Pittsburg Hospital LLC
Organization Active NPI Internal Medicine Physician · Pittsburg, TX
NPI 1942700331 · NPPES record last updated Jul 29, 2019
Key facts
- NPI
- 1942700331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- PITTSBURG HOSPITAL LLC
- Practice address
- 2701 US Highway 271 N
Pittsburg, TX 75686-4289 - Phone
- (903) 946-5442
- Fax
- (903) 946-5258
- NPI assigned
- Feb 13, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- AHS EAST TEXAS HEALTH SYSTEM, LLC
Authorized official
- Name
- Stephen C. Petrovich
- Title
- Evp
- Phone
- (615) 296-3000
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 5
Practitioners 32
-
Scott Holland, MD
-
Leslie Earle Tingle, M.D.
-
Kish L. Carlton, MD
-
Kevin W Caton, CRNA
-
Maria M Crompton, DO
-
Agata D Galyon, CRNA
-
David Galyon, CRNA
-
Keith Edward James, C.R.N.A.
-
Gregory James Oneill, CRNA
-
Eric D Reed, D.O.
-
Daniel P Snow, CRNA
-
Ilanko Upendran, MD
-
James Ralph Vanderburg III, M. D.
-
Christopher Lee Killgore, CRNA
-
Waleed Chaudhary, MD
-
Christian Ferrer, MD
-
Jennifer Flowers, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| 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 Practice locations: Mt Pleasant, TX; Pittsburg, TX |
National Provider Directory
- Tax ID family
- Pittsburg Hospital LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
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
Other providers in Pittsburg, TX
- Leonard Pingatore
- Curtis Oscar Pitton
- Pittsburg Hospital LLC
- Pittsburg Hospital LLC
- Pittsburg Hospital LLC
- Pittsburg Hospital, LLC
- Pittsburg Independent School District
- Pittsburg Nursing Center, L.P.
- Pittsburg SNF LLC
- Premier Home Care, Inc.
All providers in Pittsburg, TX · Internal Medicine Physician 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 29, 2019. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.