BSA HOSPITAL LLC
NPI 1609112069
Radiology - Vascular & Interventional Radiology in Amarillo, TX

NPI Status: Active since December 12, 2012

Contact Information

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106
Phone: (806) 212-2000
Fax: (806) 212-8836

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  • Organization
  • Radiology
  • Vascular & Interventional Radiology
  • Accepts Insurance

About BSA HOSPITAL LLC

This page provides the complete NPI Profile along with additional information for Bsa Hospital Llc, a provider established in Amarillo, Texas operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1609112069 assigned on December 2012. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Bsa Hospital Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Stephen C Petrovich (Svp)

NPI
1609112069
Provider Name
BSA HOSPITAL LLC
Entity Type
Organization
Location Address
1600 WALLACE BLVD AMARILLO, TX 79106
Location Phone
(806) 212-2000
Location Fax
(806) 212-8836
Mailing Address
1 BURTON HILLS BLVD SUITE 250 NASHVILLE, TN 37215
Mailing Phone
(615) 296-3000
Mailing Fax
(806) 212-8836
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-12-2012
Last Update Date
12-12-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Vascular & Interventional Radiology

Taxonomy Code
2085R0204X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHEN C PETROVICH

Authorized Official Title
SVP
Authorized Official Phone
(615) 296-3000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
APPLIED FORMEDICARE UPIN (02)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609112069
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609214012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 2 + 1 + 4 + 0 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1609112069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. MARK KENDRICK RPH

Pharmacist

1600 WALLACE BLVD
PHARMACY
AMARILLO, TX
ZIP 79106

(806) 212-5372

BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION

General Acute Care Hospital

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-2000

BAPTIST ST. ANTHONY'S HOSPITAL CORPORATION

Rehabilitation Unit

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-2000

AMARILLO EMERGENCY PHYSICIANS LLP

Emergency Medicine

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-2000

PLAINS EMERGENCY PHYSICIANS, LLP

Emergency Medicine

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-2000

JOSE CABRERO M.D.

Emergency Medicine

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-2000

NICK PETERS M.D., FACEP

Emergency Medicine

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-2000

JOSEPH D HOLLINGSWORTH M.D.

Emergency Medicine

1600 WALLACE BLVD
BAPTIST SAINT ANTHONY'S HOSPITAL
AMARILLO, TX
ZIP 79106

(806) 212-2000

MRS. KIMBERLY RENE GALLOP R.N. , C.N.N.P

Nurse Practitioner

(Neonatal, Critical Care)

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-5303

MR. PHILLIP LELAND PLATT BSN, RNC, NNP-BC

Nurse Practitioner

(Neonatal, Critical Care)

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-5303

DR. BRENT ARTHO M.D.

Anesthesiology

1600 WALLACE BLVD
AMARILLO ANESTHESIA CONSULTANTS
AMARILLO, TX
ZIP 79106

(806) 356-2770

DR. ANWAR WILSON M.D

Emergency Medicine

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-5750

MS. STEPHANIE RUTH MUNSELL MS RD LD

Dietitian, Registered

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-3006

TOM MERRIMAN PA

Anesthesiology

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 355-9595

ALTON WAYNE FUNDERBURK JR. CRNA

Nurse Anesthetist, Certified Registered

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-5803

DR. JEFFREY LUKE FOSTER D.O.

Emergency Medicine

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-5000

BSA PHYSICIANS GROUP INC

Internal Medicine

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-6965

BSA HOSPITAL LLC

Rehabilitation Unit

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-2000

BSA HOSPITAL LLC

Clinical Medical Laboratory

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(615) 296-3000

MR. JASON S PREECE CRNA

Nurse Anesthetist, Certified Registered

1600 WALLACE BLVD
AMARILLO, TX
ZIP 79106

(806) 212-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609112069, enumerated as an "organization" on December 12, 2012.

The provider is located at 1600 WALLACE BLVD AMARILLO, TX 79106 and the phone number is (806) 212-2000.

Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.