Active NPI
Midland Medicine PA
- Internal Medicine Physician
- Midland, TX
National Provider Identifier
1346832771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MIDLAND MEDICINE PA
- Practice address
- 4501 Santa Rosa Dr
Midland, TX 79707-2260 - Phone
- (432) 683-8516
- NPI assigned
- Feb 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candace Wynne
- Title
- Authorized Official
- Phone
- (432) 221-5907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4501 Santa Rosa Dr
Midland, TX 79707-2260
Mailing address
4507 Santa Rosa Dr
Midland, TX 79707-2260
Phone (432) 683-8516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4501 Santa Rosa Dr
Midland, TX 79707
111 Parks Village Dr
Odessa, TX 79765
Phone (432) 563-5707
Interoperability endpoints
- https://api.platform.athenahealth.com/24412/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Midland, TX
- NPI 1760860720
-
- Family Nurse Practitioner
- Midland, TX
- NPI 1205477874
-
- Medical Physician Assistant
- Midland, TX
- NPI 1437356730
-
- Medical Physician Assistant
- Midland, TX
- NPI 1003214511
-
- Family Nurse Practitioner
- Midland, TX
- NPI 1609484419
-
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1063408896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786060800000",
"number": "1346832771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4507 SANTA ROSA DR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797072260",
"telephone_number": "432-683-8516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 SANTA ROSA DR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797072260",
"telephone_number": "432-683-8516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDLAND MEDICINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-08",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A",
"authorized_official_last_name": "WYNNE",
"authorized_official_first_name": "CANDACE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "432-221-5907"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 7, 2026; 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.