Organization Active NPI

Texas Midwest Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Abilene, TX
National Provider Identifier
1700887155
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007182 Issued in TX
Legal business name
TEXAS MIDWEST SURGERY CENTER, LLC
Practice address
751 N 18TH St
Abilene, TX 79601-3017
Phone
(325) 677-6555
Fax
(325) 677-6976
NPI assigned
Aug 9, 2005
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Dr. Shannon E Cooke, M.D.NPI 1811923063
Title
Board Member
Phone
(325) 672-4372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007182 TX Primary

Addresses

Primary practice location

751 N 18TH St
Abilene, TX 79601-3017

Mailing address

751 N 18TH St
Abilene, TX 79601-3017
Phone (325) 677-6555

Other identifiers 1

IdentifierTypeStateIssuer
087982701MedicaidTX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Texas Midwest Surgery CenterCCN 45C0001270
Medicare certification status
Terminated Voluntary: merger or closure, Aug 23, 2024From the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0972953Texas Midwest Surgery Center751 North 18TH Street, Abilene, TX 79601Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557

Practitioners & affiliated clinicians

Practitioners 1

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1700887155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013017",
            "telephone_number": "325-677-6555",
            "fax_number": "325-677-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013017",
            "telephone_number": "325-677-6555",
            "fax_number": "325-677-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MIDWEST SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "325-672-4372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087982701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.