Midland Plastic Surgery Center PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

MIDLAND PLASTIC SURGERY CENTER PA

Practice address

701 Tradewinds Blvd Ste B
Midland, TX 79706-3166

Phone

(432) 618-6772

Fax

(432) 618-6775

NPI assigned

Nov 14, 2014

Last updated

Jul 29, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas Kevin Cook, MDNPI 1659582948

Title

Owner

Phone

(432) 618-6772

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Kevin Cook, MD

  • Plastic and Reconstructive Surgery Physician
  • Midland, TX
  • NPI 1659582948
  Medicare reassignment NPD Authorized official
• Matthew Steven Brown, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Odessa, TX
  • NPI 1316189921
  Medicare reassignment
• Shelton Viney, MD

  • Vascular Surgery Physician
  • Midland, TX
  • NPI 1891724498
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1023414216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TRADEWINDS BLVD STE B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797063166",
            "telephone_number": "432-618-6772",
            "fax_number": "432-618-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TRADEWINDS BLVD STE B",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797063166",
            "telephone_number": "432-618-6772",
            "fax_number": "432-618-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND PLASTIC SURGERY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-618-6772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midland Pharmacy , LLC
• Midland Pharmacy Plus LLC (Medical Center Pharmacy)
• Midland Physical Therapy and Sports Rehabilitation Inc (Midland Physical Therapy)
• Midland Primary Care
• Midland SCC, LLC (Senior Care of Midland)
• Midland Speech Center LLC (Midland Speech Center)
• Midland Spine & Joint Surgery Center, LLC
• Midland Surgical Associates, P.a.

• Plastic and Reconstructive Surgery Physician in Midland, TX
• Providers in Midland, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.