Organization Active NPI

Midland Primary Care

  • Family Medicine Physician
  • Midland, TX
National Provider Identifier
1851444509
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIDLAND PRIMARY CARE
Practice address
1300 W Wall St
Midland, TX 79701-6625
Phone
(432) 684-4488
Fax
(432) 684-6644
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Heather Fairchild Reed
Title
Chief Executive Officer
Phone
(432) 684-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X TX Primary

Addresses

Primary practice location

1300 W Wall St
Midland, TX 79701-6625

Mailing address

1300 W Wall St
Midland, TX 79701-6625
Phone (432) 684-4488

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
45D2278491Midland Primary Care1300 W. Wall, Midland, TX 79701Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory

Locations

1300 W Wall St
Midland, TX 79701
Phone (432) 684-4488

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851444509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016625",
            "telephone_number": "432-684-4488",
            "fax_number": "432-684-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016625",
            "telephone_number": "432-684-4488",
            "fax_number": "432-684-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "FAIRCHILD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "432-684-4488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "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 Jul 21, 2022; 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.