Active NPI
Midland Spine & Joint Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Midland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MIDLAND SPINE & JOINT SURGERY CENTER, LLC
- Practice address
- 4505 N Holiday Hill Rd Ste 110
Midland, TX 79707-3007 - Phone
- (254) 245-9175
- Fax
- (254) 213-7771
- NPI assigned
- Mar 12, 2025
- 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
- Elodie Day
- Title
- Ceo
- Phone
- (254) 245-9175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4505 N Holiday Hill Rd Ste 110
Midland, TX 79707-3007
Mailing address
PO Box 11538
Killeen, TX 76547-1538
Phone (254) 245-9175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250728000660 | TX | Part B Supplier - Ambulatory Surgical Center | 8022525807 | Practice locations: Midland, TX |
Ambulatory surgical center certification: CCN 45C0451324
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Midland Spine & Joint Surgery Cente
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Dec 17, 2025
- Last certification
- Dec 3, 2025
- Facility address
- 4505 Holiday Hill Rd, Ste 110
Midland, TX 79707
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 |
|---|---|---|---|
| 45D2321745 | Midland Spine & Joint Surgery Center, LLC | Certificate of waiver | Apr 8, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Pain Medicine (Anesthesiology) Physician
- Temple, TX
- NPI 1144746082
Member Of
Locations
4505 N Holiday Hill Rd
Ste 110
Midland, TX 79707
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Killeen, TX
- NPI 1730175035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746748800000",
"number": "1912706805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11538",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765471538",
"telephone_number": "254-245-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 N HOLIDAY HILL RD STE 110",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797073007",
"telephone_number": "254-245-9175",
"fax_number": "254-213-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDLAND SPINE & JOINT SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-12",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A",
"authorized_official_last_name": "DAY",
"authorized_official_first_name": "ELODIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "254-245-9175"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
- Midland Physical Therapy and Sports Rehabilitation Inc
- Midland Plastic Surgery Center PA
- Midland Primary Care
- Midland SCC, LLC
- Midland Speech Center LLC
- Midland Surgical Associates, P.a.
- Midland Texas Orthopedic Group Inc
- Midland Texas Surgical Center, LLC
- Midland Vision Health Specialties PLLC
- Midland Women'S Clinic P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.