MIDLAND COMPLETE FAMILY CARE AND ASSOCIATES (NPI# 1548312465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548312465 |
| Entity Type | Organization |
| Organization Name | MIDLAND COMPLETE FAMILY CARE AND ASSOCIATES |
| Practice Address |
4400 N Midland Dr Ste 506a Midland TX 79707-3385 |
| Practice Telephone | 4326175555 |
| Practice Fax Number | 4326185555 |
| Mailing Telephone | 4326175555 |
| Mailing Fax Number | 4326185555 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARIO MIGUEL GROSS (PRESIDENT) |
| Authorized Official Telephone | 4316175555 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207V00000X | Obstetrics & Gynecology | K6596 | TX | Allopathic & Osteopathic Physicians |
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
PA03371 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
PA03268 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | DB9249 | 01 |
| TX | BCBS | 0027KN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538171616 | Midland Complete Family Care and Associates | Physician Assistant | 4310 W Illinois Ave, Ste 320, Midland, TX 79703-5529 | 2006-08-13 |
| Street Address |
4400 N MIDLAND DR STE 506A |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707-3385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909003 | Sriyuta Thota | Optometrist | 4400 N Midland Dr, Suite 404, Midland, TX 79707-3385 | 2005-06-02 |
| 1528504065 | Nsmd Medical Pllc | Family Medicine | 4400 N Midland Dr, 406b, Midland, TX 79707-3385 | 2017-01-09 |
| 1912352485 | Slater-delk Medical Pllc Gen Ptr | Family Medicine | 4400 N Midland Dr, Ste 406 B, Midland, TX 79707-3385 | 2016-05-03 |
| 1679956619 | Reema Kalpesh Patel | Dentist | 4400 N Midland Dr, Midland, TX 79707-3385 | 2015-07-08 |
| 1386063923 | Nimesh Shingala Dds PC | Dentist | 4400 N Midland Dr, 702, Midland, TX 79707-3385 | 2014-04-10 |
| 1568749091 | Sun Diagnostics Lp | Clinic/Center | 4400 N Midland Dr, Suite 506, Midland, TX 79707-3385 | 2011-11-11 |
| 1760596936 | Bobby G Ray | Optometrist | 4400 N Midland Dr, Suite 404, Midland, TX 79707-3385 | 2006-08-18 |
| 1790705226 | Mario M Gross, Md, Pa | Obstetrics & Gynecology | 4400 N Midland Dr, Suite 506, Midland, TX 79707-3385 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
| 1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
| 1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
| 1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
| Find all providers in zip 79707 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801241419 | Rebecca Lynn Morton | Obstetrics & Gynecology | 2500 W Illinois Ave Ste 100, Midland, TX 79701-6339 | 2016-05-02 |
| 1386061620 | Ayodele O. Olowookere, M.d., P.a | Obstetrics & Gynecology | 5317 Shady Bend Ct, Midland, TX 79707-1400 | 2014-03-25 |
| 1124343066 | Paula Reif Headbloom | Obstetrics & Gynecology | 3306 Thornbrook Ct, Midland, MI 48640-2374 | 2010-04-04 |
| 1124350442 | Ayodele O Olowookere | Obstetrics & Gynecology | 400 Rosalind Redfern Grover Pkwy, Ste 281, Craddick Medical Office Building, Midland, TX 79701-5904 | 2010-02-11 |
| 1447459011 | Kym C Gohn | Obstetrics & Gynecology | 3016 W. Wackerly St., Midland, MI 48640-6960 | 2007-07-13 |
| 1568582443 | Ayodeji Oluwatosin Joshua | Obstetrics & Gynecology | 4401 Campus Ridge Dr Ste Ll110, Midland, MI 48640-6126 | 2007-04-02 |
| 1962562579 | Leslie E Chupp | Obstetrics & Gynecology | 1211 W Illinois Ave, Midland, TX 79701-6158 | 2006-12-12 |
| 1306906177 | David Allen Junge | Obstetrics & Gynecology | 4009 Orchard Drive, Suite #3025, Midland, MI 48640-6111 | 2006-12-11 |
| 1083700280 | Midland Ob-gyn Associates, PC | Obstetrics & Gynecology | 419 W Wackerly St, Midland, MI 48640-2761 | 2006-10-05 |
| 1720198005 | Lydia Watson | Obstetrics & Gynecology | 2600 Mccandless Dr, Midland, MI 48640-6103 | 2006-08-30 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.