Midtown Medical and Wellness Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MIDTOWN MEDICAL AND WELLNESS CENTER

Practice address

1005 S Jefferson St
Amarillo, TX 79101-3231

Phone

(806) 379-8004

Fax

(806) 379-7639

NPI assigned

Jan 12, 2021

Last updated

Jan 12, 2021By 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

Amber Vaughn

Title

Insurance/Billing Specialist

Phone

(806) 379-8004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Damon Alan Cross, D.C.

  • Chiropractor
  • Amarillo, TX
  • NPI 1013998541
  Medicare reassignment Care Compare group NPD
• Marshall Dawkins, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Amarillo, TX
  • NPI 1740637263
  Medicare reassignment Care Compare group NPD
• William Bowman, FNP

  • Family Nurse Practitioner
  • Amarillo, TX
  • NPI 1245796911
  Medicare reassignment NPD
• Ron K. Rankin, M.D.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1861405250
  NPD
• George Martin Cole, D.O.

  • Orthopaedic Surgery Physician
  • Amarillo, TX
  • NPI 1225031230
  NPD (past)
• Rick D. Smith, D.C.

  • Chiropractor
  • Amarillo, TX
  • NPI 1992788079
  NPD (past)

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1629667845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S JEFFERSON ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791013231",
            "telephone_number": "806-379-8004",
            "fax_number": "806-379-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S JEFFERSON ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791013231",
            "telephone_number": "806-379-8004",
            "fax_number": "806-379-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN MEDICAL AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "INSURANCE/BILLING SPECIALIST",
        "authorized_official_telephone_number": "806-379-8004"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackely Meza Moreno
• Michael D Williams MD PA
• Michael D. Vennell DC PA (Spine & Sports Wellness Clinic)
• Michael O. Lagrone, M.D., P.a.
• Michael S Manderson MD PA
• James Paul Mihlhauser, CRNA
• Milan Patel MD PA
• Jarrod L Milbern, CRT
• Pamela Sue Milbern, R.PH.
• Lilly Milecky

• General Practice Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.