NPIMap

Organization Active NPI

Ingram Investments LLC

Doing business as The Surgical Center of Midland

  • Ophthalmology Physician
  • Midland, TX
National Provider Identifier
1265511463
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
000398 Issued in TX
Legal business name
INGRAM INVESTMENTS LLC
Doing business as
The Surgical Center of Midland
Practice address
2706 West Cuthbert
Building a
Midland, TX 79701
Phone
(432) 694-6517
Fax
(432) 694-7414
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Teresa P Ingram
Title
Administration
Phone
(432) 694-6517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 000398 TX Primary

Addresses

Primary practice location

2706 West Cuthbert
Building a
Midland, TX 79701

Mailing address

2706 West Cuthbert
Building a
Midland, TX 79701
Phone (432) 694-6517

Other identifiers 1

IdentifierTypeStateIssuer
HH1502OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • The Surgical Center of Midland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100615000899 TX Part B Supplier - Ambulatory Surgical Center 9638209752 Practice locations: Midland, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Ingram Investments LLCCCN 45C0001235
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2706 W Cuthbert Ave
Bldg A
Midland, TX 79701
Phone (432) 694-0999

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265511463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 WEST CUTHBERT",
            "address_2": "BUILDING A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-694-6517",
            "fax_number": "432-694-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 WEST CUTHBERT",
            "address_2": "BUILDING A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-694-6517",
            "fax_number": "432-694-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "432-694-6517"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "000398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH1502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgical Center of Midland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.