NPIMap

Organization Active NPI

A & D Medical Center, LLC

Doing business as Family Medical Center of Monahans

  • Rural Health Clinic/Center
  • Monahans, TX
National Provider Identifier
1295793214
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
A & D MEDICAL CENTER, LLC
Doing business as
Family Medical Center of Monahans
Practice address
405 S. Main Street
Ste 100
Monahans, TX 79756-4506
Phone
(432) 943-7537
Fax
(432) 943-4767
NPI assigned
May 1, 2006
Last updated
Feb 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Dr. David William Davison, MD
Title
Director/Owner
Phone
(432) 943-7537

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

405 S. Main Street
Ste 100
Monahans, TX 79756-4506

Mailing address

405 S. Main Street
Ste 100
Monahans, TX 79756-4506
Phone (432) 943-7537

Other identifiers 3

IdentifierTypeStateIssuer
063441201MedicaidTX
091921901MedicaidTX
091921902MedicaidTX

Other names 1

  • Family Medical Center of Monahans Doing business as

National Provider Directory

National Provider Directory

Locations

405 S Main Ave
Ste 100
Monahans, TX 79756
Phone (432) 943-7537

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1295793214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S. MAIN STREET",
            "address_2": "STE 100",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797564506",
            "telephone_number": "432-943-7537",
            "fax_number": "432-943-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S. MAIN STREET",
            "address_2": "STE 100",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797564506",
            "telephone_number": "432-943-7537",
            "fax_number": "432-943-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & D MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "432-943-7537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063441201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091921901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091921902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Center of Monahans",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monahans, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.