| Pittsburg Hospital Llc | |
|
2701 Us Highway 271 N Pittsburg TX 75686-4289 | |
| (903) 946-5442 | |
| (903) 946-5258 |
| Full Name | Pittsburg Hospital Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2701 Us Highway 271 N, Pittsburg, Texas |
| Authorized Official Name and Position | Stephen C. Petrovich (EVP) |
| Authorized Official Contact | 6152963000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pittsburg Hospital Llc 1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 Ph: (615) 296-3000 | Pittsburg Hospital Llc 2701 Us Highway 271 N Pittsburg TX 75686-4289 Ph: (903) 946-5442 |
| NPI Number | 1942700331 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 07/29/2019 |
| Medicare PECOS PAC ID | 5597029272 |
|---|---|
| Medicare Enrollment ID | O20180604001525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942700331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Secondary |
| Provider Name | Julian Deese |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477598969 PECOS PAC ID: 2466442074 Enrollment ID: I20040515000292 |
| Provider Name | Kevin W Caton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043218548 PECOS PAC ID: 8022090646 Enrollment ID: I20040607000200 |
| Provider Name | Ilanko Upendran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124051073 PECOS PAC ID: 1456333921 Enrollment ID: I20040607001249 |
| Provider Name | Gregory J Oneill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174511141 PECOS PAC ID: 7214910272 Enrollment ID: I20040610000809 |
| Provider Name | Keith James |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598705691 PECOS PAC ID: 4284613589 Enrollment ID: I20040720000039 |
| Provider Name | Daniel P Snow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235137019 PECOS PAC ID: 2062468184 Enrollment ID: I20050322001020 |
| Provider Name | Steven F Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043244874 PECOS PAC ID: 0143202762 Enrollment ID: I20051216000607 |
| Provider Name | James Ralph Vanderburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396821997 PECOS PAC ID: 5799780607 Enrollment ID: I20070209000237 |
| Provider Name | Christopher L Killgore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235143645 PECOS PAC ID: 5395707178 Enrollment ID: I20070823000310 |
| Provider Name | Agata D Galyon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760524821 PECOS PAC ID: 0749386365 Enrollment ID: I20080822000148 |
| Provider Name | Leslie E Tingle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871552943 PECOS PAC ID: 4385779735 Enrollment ID: I20100324000290 |
| Provider Name | David S Galyon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619209384 PECOS PAC ID: 2264561018 Enrollment ID: I20100603000715 |
| Provider Name | Eric D Reed |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851448815 PECOS PAC ID: 2062538465 Enrollment ID: I20100922001120 |
| Provider Name | Maria M Crompton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629373717 PECOS PAC ID: 0749452886 Enrollment ID: I20111013000327 |
| Provider Name | Ainsley Hugh Bulgin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598045338 PECOS PAC ID: 6103086343 Enrollment ID: I20120327000352 |
| Provider Name | Scott W Holland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356431936 PECOS PAC ID: 8325201411 Enrollment ID: I20120530000399 |
| Provider Name | Neil Schwartzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295806750 PECOS PAC ID: 4688582026 Enrollment ID: I20170216002321 |
| Provider Name | Kish L Carlton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194144246 PECOS PAC ID: 7719283852 Enrollment ID: I20171030000686 |
| Provider Name | Caleb Heath Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194281626 PECOS PAC ID: 6800139098 Enrollment ID: I20190509001136 |
| Provider Name | Meagen Leann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962965491 PECOS PAC ID: 9739422999 Enrollment ID: I20190510001300 |
Etmc General Surgery Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 S Greer Blvd, Pittsburg, TX 75686 Phone: 903-856-7437 Fax: 903-856-3067 | |
Pittsburg Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Quitman St, Pittsburg, TX 75686 Phone: 903-946-5442 | |
Pittsburg Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Us Highway 271 N, Pittsburg, TX 75686 Phone: 903-946-5442 Fax: 903-946-5258 | |
Etmc First Physicians Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 U.s. Hwy 271 N, Pittsburg, TX 75686 Phone: 903-946-5442 Fax: 903-946-5258 |