Organization Active NPI

Midland Spine & Joint Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Midland, TX
National Provider Identifier
1912706805
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on May 9, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 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
45D2321745Midland Spine & Joint Surgery Center, LLC4505 Holiday Hill Rd, Ste 110, Midland, TX 79707Certificate of waiverApr 8, 2027

National Provider Directory

National Provider Directory

Member of 1

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

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.

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

Sources for this page

Verify at the official NPI Registry.