SAN ANGELO HOSPITAL LP (NPI# 1659394617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659394617 |
| Entity Type | Organization |
| Organization Name | SAN ANGELO HOSPITAL LP |
| Practice Address |
3501 Knickerbocker Rd San Angelo TX 76904-7610 |
| Mailing Address |
Po Box 849051 Dallas TX 75284-9051 |
| Practice Telephone | 3259499511 |
| Practice Fax Number | 3259476550 |
| Mailing Telephone | 3259499511 |
| Mailing Fax Number | 3259476550 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-01-05 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN ANGELO HOSPITAL LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 000056 | TX | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 112693003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194776104 | San Angelo Hospital Lp | Clinic/Center | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-05-15 |
| Street Address |
3501 KNICKERBOCKER RD |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-7610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487622403 | Randell Gene Matthews | Specialist/Technologist | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-03-08 |
| 1700231248 | Kyle Mills | Internal Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2016-05-03 |
| 1710341508 | Anthony Mcdonald | Internal Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2016-04-08 |
| 1972966000 | Yotham Fraenkel | Internal Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2016-04-05 |
| 1386012037 | Crystal Sustaita | Nurse Anesthetist, Certified Registered | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2015-09-11 |
| 1659769198 | Joe Riley Mcfarland | Nurse Anesthetist, Certified Registered | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2015-01-07 |
| 1154748671 | Caesasonia Pascual Agatep | Nurse Practitioner | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2014-03-21 |
| 1588009807 | San Angelo Emergency Medicine Associates Pa | Physician Assistant | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2013-04-30 |
| 1982048682 | Crystal Collin Kirkland | Internal Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2013-04-24 |
| 1457606154 | Oasis of West Tx Emergency | Physician Assistant | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2012-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306806153 | Shannon Medical Center | Rehabilitation Unit | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346793890 | Chukwuemeka Ozonwankwo | Rehabilitation Unit | 2111 Washington Cir, Apt 120, Arlington, TX 76011-3320 | 2016-08-02 |
| 1942650577 | Unlocking The Spectrum | Rehabilitation Unit | 9911 Sundew Cir, Houston, TX 77070-1992 | 2016-06-14 |
| 1669851879 | Supplemental Healthcare Inc. | Rehabilitation Unit | 333 Holly Creek Ct Apt 1708, The Woodlands, TX 77381 | 2015-05-20 |
| 1740683200 | Baptist Health System | Rehabilitation Unit | 5630 W Loop 1604 N Ste 108, San Antonio, TX 78251-3806 | 2014-09-29 |
| 1568899391 | Hillcrest Baptist Medical Center | Rehabilitation Unit | 100 Hillcrest Medical Blvd Fl 2, Waco, TX 76712-8897 | 2013-10-11 |
| 1194022749 | Mmc Therapy Enterprises, LLC | Rehabilitation Unit | 4951 Long Prairie Road, Suite 110, Flower Mound, TX 75028 | 2011-02-17 |
| 1437453545 | Vitality Chiropractic and Wellness | Rehabilitation Unit | 1205 Meadowlark Dr, Little Elm, TX 75068-4653 | 2011-01-04 |
| 1699832303 | Procare Therapies PC | Rehabilitation Unit | 515 E. Business Hwy. 83, Suite A, Alamo, TX 78516 | 2007-01-02 |
| 1386705390 | Sierra Providence Health Network | Rehabilitation Unit | 81 Camille Apt 44, El Paso, TX 79912-0011 | 2006-12-13 |
| 1831276930 | Harris County Hospital District | Rehabilitation Unit | 3601 North Macgregor Way, Houston, TX 77004-8004 | 2006-11-01 |
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| City | SAN ANGELO |
| Zip Code | 76904 |
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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.