Active NPI
Texas Midwest Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 007182
- 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, 2014
- 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
- Dr. Shannon E Cooke, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087982701 | Medicaid | TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Texas Midwest Surgery Center
- Medicare certification status
- Terminated Voluntary: merger or closure, Aug 23, 2024
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0972953 | Texas Midwest Surgery Center | Certificate of waiver | Apr 20, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Hendrick Medical Supply
- Durable Medical Equipment & Medical Supplies
- Brownwood, TX
- NPI 1932187291
Member Of
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.
-
- Orthopaedic Surgery Physician
- Abilene, TX
- NPI 1811923063
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
- Texas Midwest Emergency Physicians PA
- Texas Midwest Endoscopy Center, LLC
- Texas Midwest Express Care, P.a. (Dr. J Express Care)
- Texas Midwest Gastroenterology Center, PA
- Texas Midwest Optical LLC
- Texas Neurology Clinic PC
- Texas Outpatient & Infusion Center
- Texas Oxycare, Inc.
- Texas State Hearing, Inc.
- Texas Swallow Diagnostics, LLC
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.