TEXAS SPINE AND JOINT HOSPITAL, LLC (NPI# 1942292255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942292255 |
Entity Type | Organization |
Organization Name | TEXAS SPINE AND JOINT HOSPITAL, LLC |
Other Organization Name | BAYLOR SCOTT & WHITE TX SPINE & JOINT HOS SUR CTR |
Practice Address |
1814 Roseland Blvd Tyler TX 75701-4262 |
Practice Telephone | 9035253300 |
Practice Fax Number | 9035253397 |
Mailing Telephone | 9035253300 |
Mailing Fax Number | 9035253397 |
Enumeration Date | 2005-08-22 |
Last Update Date | 2020-10-22 |
Authorized Official Name | TONY WAHL (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 9035253329 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 007902 | TX | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 162459501 | 05 | |
TX | 162459502 | 05 | |
TX | BCBS | HH1021 | 01 |
Other Name | Type Code |
---|---|
Baylor Scott & White Texas Spine & Joint Hospital | Doing Business As Name - Organization |
Baylor Scott & White Texas Spine and Joint Hospital Imaging Center - Tyler | Doing Business As Name - Organization |
Baylor Scott & White Texas Spine and Joint Hospital Sleep Lab | Doing Business As Name - Organization |
Baylor Scott & White Texas Spine and Joint Hospital Sports Medicine and Therapy Services | Doing Business As Name - Organization |
Baylor Scott & White Texas Spine and Joint Hospital Surgery Center | Doing Business As Name - Organization |
Baylor Scott & White TX Spine & Joint Hos Imaging Ctr | Doing Business As Name - Organization |
Baylor Scott & White TX Spine & Joint Hos Sleep Lab | Doing Business As Name - Organization |
Baylor Scott & White TX Spine & Joint Hos Sports Med & Therpy Ser | Doing Business As Name - Organization |
Baylor Scott & White TX Spine & Joint Hos Sur Ctr | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033656574 | Texas Spine and Joint Hospital, LLC | Clinic/Center | 2211 S Loop 256, Palestine, TX 75801-4701 | 2017-01-23 |
1780121210 | Texas Spine and Joint Hospital, LLC | Clinic/Center | 8101 S Broadway Ave, Tyler, TX 75703-5469 | 2017-01-23 |
Street Address |
1814 ROSELAND BLVD |
City | TYLER |
State | TX |
Zip Code | 75701-4262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215587548 | David Tyler Dillon | Physical Therapist | 1814 Roseland Blvd, Tyler, TX 75701-4234 | 2019-09-18 |
1235607110 | Amanda Nicole Piper | Physical Therapist | 1814 Roseland Blvd, Tyler, TX 75701-4234 | 2018-11-08 |
1942777578 | Taiwo Anuoluwapo Kola-korolo | Physical Therapist | 1814 Roseland Blvd, Tyler, TX 75701-4234 | 2018-11-01 |
1235605783 | Armando Loera | Physical Therapist | 1814 Roseland Blvd, Tyler, TX 75701-4234 | 2018-10-22 |
1194290064 | Clay Mccoy | Physical Therapy Assistant | 1814 Roseland Blvd, Tyler, TX 75701-4234 | 2018-10-08 |
1598283400 | Spine & Joint Physician Associates | Internal Medicine | 1814 Roseland Blvd, Tyler, TX 75701-4234 | 2017-08-31 |
1710349675 | Lindsey Nance Koon | Nurse Practitioner | 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4234 | 2016-03-22 |
1710326830 | Bradford Kingsley Kay | Pharmacist | 1814 Roseland Blvd, Tyler, TX 75701-4234 | 2013-06-21 |
1558665703 | Micah Roy Jackson | Physician Assistant | 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4234 | 2011-01-03 |
1053640615 | Elisabeth Ann Cercek | Nurse Practitioner | 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4234 | 2009-12-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407364847 | Tyler Regional Hospital LLC | General Acute Care Hospital | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2018-01-19 |
1891245734 | Rene Richter | General Acute Care Hospital | 703 S Fleishel Ave, Suite 5000, Tyler, TX 75701-2015 | 2016-10-04 |
1306182563 | Mother Frances Hospital | General Acute Care Hospital | 800 E Dawson St, Tyler, TX 75701-2036 | 2012-12-17 |
1578850145 | Joseph S. Wassef, M.d., P.C. | General Acute Care Hospital | 2010 Sybil Ln Ste 150, Tyler, TX 75703-1830 | 2011-07-05 |
1184832891 | Tyler Healthcare Center Dba Tyler Healthcare Pharmacy | General Acute Care Hospital | 240 Willow St., Tyler, MN 56178 | 2007-05-18 |
1235256884 | East Texas Medical Center | General Acute Care Hospital | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2007-03-26 |
1679578439 | Mother Frances Hospital Regional Health Care Center | General Acute Care Hospital | 800 E Dawson St, Tyler, TX 75701-2036 | 2005-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184233785 | Hendrick Medical Center Brownwood | General Acute Care Hospital | 1501 Burnett Rd, Brownwood, TX 76801-8520 | 2020-07-29 |
1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
1841844735 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 806 Cupples Rd, San Antonio, TX 78237-4410 | 2019-07-29 |
1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
1669954194 | Southcross Hospital LLC | General Acute Care Hospital | 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 | 2018-08-31 |
1356822167 | Stat Emergency Center of Del Rio LLC | General Acute Care Hospital | 2600 Veterans Blvd, Del Rio, TX 78840-3108 | 2018-08-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.