| Midland Community Healthcare Services | |
|
801 E Florida Ave Midland TX 79701-8212 | |
| (432) 685-0450 | |
| (432) 685-0459 |
| Full Name | Midland Community Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 E Florida Ave, Midland, Texas |
| Authorized Official Name and Position | Michael Austin (CEO) |
| Authorized Official Contact | 4325700238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Community Healthcare Services Po Box 5576 Midland TX 79704-5576 Ph: (432) 570-0238 | Midland Community Healthcare Services 801 E Florida Ave Midland TX 79701-8212 Ph: (432) 685-0450 |
| NPI Number | 1235225087 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 06/03/2021 |
| Medicare PECOS PAC ID | 0345230975 |
|---|---|
| Medicare Enrollment ID | O20040515000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235225087 | NPI | - | NPPES |
| 0090KV | Other | TX | BLUE CROSS BLUE SHIELD |
| 165581305 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Eliseo Rivera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013990761 PECOS PAC ID: 1759377500 Enrollment ID: I20040426000431 |
| Provider Name | Elisa L Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811086986 PECOS PAC ID: 6002885076 Enrollment ID: I20050901000401 |
| Provider Name | Chandan Mazumder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093928913 PECOS PAC ID: 9436305810 Enrollment ID: I20120820000427 |
| Provider Name | Khadijah Abdurrazaq |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336304120 PECOS PAC ID: 5698917862 Enrollment ID: I20130819000289 |
| Provider Name | Chabacana Liat Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154767234 PECOS PAC ID: 1759511066 Enrollment ID: I20140306001929 |
| Provider Name | David Md Banh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972829331 PECOS PAC ID: 5698903946 Enrollment ID: I20140808001452 |
| Provider Name | Scott E Julian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538269279 PECOS PAC ID: 0547356503 Enrollment ID: I20141001002019 |
| Provider Name | Irina Remsburg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639439185 PECOS PAC ID: 6305154345 Enrollment ID: I20150924002227 |
| Provider Name | Dimitra Angeli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083977052 PECOS PAC ID: 5092017467 Enrollment ID: I20160104000241 |
| Provider Name | Kathryn N Hutton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790046472 PECOS PAC ID: 5092005421 Enrollment ID: I20161012002673 |
| Provider Name | Trinidad R Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447701602 PECOS PAC ID: 1951682665 Enrollment ID: I20170111000734 |
| Provider Name | Robyn Crosswhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336590512 PECOS PAC ID: 8022390467 Enrollment ID: I20170120000371 |
| Provider Name | Swetha Reddy Jangangari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750796009 PECOS PAC ID: 5799075131 Enrollment ID: I20170920000694 |
| Provider Name | Sarah Kazerani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205301272 PECOS PAC ID: 0042371395 Enrollment ID: I20181231001110 |
| Provider Name | Challis M Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861962391 PECOS PAC ID: 2567709405 Enrollment ID: I20190130001490 |
| Provider Name | Lisa Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942766092 PECOS PAC ID: 0143560847 Enrollment ID: I20190315001244 |
| Provider Name | Michael Emeka Okoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205299922 PECOS PAC ID: 1658670831 Enrollment ID: I20191024003403 |
| Provider Name | Tammy L Trollope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316596372 PECOS PAC ID: 3173855962 Enrollment ID: I20191028002967 |
| Provider Name | Jose L Saucedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184265050 PECOS PAC ID: 7517390925 Enrollment ID: I20191125002095 |
| Provider Name | Cecelia R Byfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548556228 PECOS PAC ID: 7911333281 Enrollment ID: I20200204002488 |
| Provider Name | Mark Clee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972946648 PECOS PAC ID: 5890126379 Enrollment ID: I20200518001119 |
| Provider Name | Daniel J Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720610447 PECOS PAC ID: 6002224144 Enrollment ID: I20210409000974 |
| Provider Name | Nidhi Girishchandra Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093147217 PECOS PAC ID: 5991001349 Enrollment ID: I20211203001996 |
| Provider Name | Innocentia I Onyemetu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790457075 PECOS PAC ID: 2769875327 Enrollment ID: I20220203002291 |
| Provider Name | Glen Allen Bennion |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386132876 PECOS PAC ID: 7517212392 Enrollment ID: I20220715000856 |
| Provider Name | Esther E Ihediwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215633011 PECOS PAC ID: 5991165243 Enrollment ID: I20230718001898 |
| Provider Name | Mayowa M Otuada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992380349 PECOS PAC ID: 8123480324 Enrollment ID: I20230821002144 |
| Provider Name | Briana J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215488754 PECOS PAC ID: 7517249147 Enrollment ID: I20230926002101 |
| Provider Name | Kevin W Benson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326061086 PECOS PAC ID: 1254641731 Enrollment ID: I20240220001153 |
Federico Ilang-ilang Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Waverly Dr, Midland, TX 79703 Phone: 432-638-7966 | |
Midland Community Healthcare Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Rosalind Redfern Grover Pkwy, 3rd Floor, Midland, TX 79701 Phone: 432-681-3100 Fax: 432-681-3108 | |
Mcandrew's Eye Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Marienfeld St, Midland, TX 79701 Phone: 432-699-4827 | |
Joseph J Shayeb Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Loop 250 N, Suite E, Midland, TX 79705 Phone: 432-620-8666 Fax: 432-682-9990 | |
Wecare Tlc- Pioneer Hwy 80 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4815 E Highway 80, Midland, TX 79706 Phone: 432-571-2680 | |
Blossom Nutrition Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 904 July Fourth Rd, Midland, TX 79706 Phone: 903-312-4549 | |
Melissa Alworth D.o. P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4519 N Garfield, Suite 15, Midland, TX 79705 Phone: 432-699-0952 |