SOUTH ARKANSAS OPEN MRI LLC (NPI# 1073719423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073719423 |
| Entity Type | Organization |
| Organization Name | SOUTH ARKANSAS OPEN MRI LLC |
| Practice Address |
2401 W Hillsboro St El Dorado AR 71730-6815 |
| Mailing Address |
11101 Hefner Pointe Dr Ste 218 Oklahoma City OK 73120-5054 |
| Practice Telephone | 8708624624 |
| Mailing Telephone | 4054182900 |
| Mailing Fax Number | 4054182200 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEREK M PRENTICE (MANAGING MEMBER) |
| Authorized Official Telephone | 4054182200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
2401 W HILLSBORO ST |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-6815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013203785 | Southark Imaging LLC | Clinic/Center | 3025 N Wyatt Dr, El Dorado, AR 71730-4189 | 2011-06-21 |
| 1508802034 | South Arkansas Medical Associates Idtf | Clinic/Center | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2006-06-22 |
| 1053307108 | Sama Independent Diagnostic Testing Facility | Clinic/Center | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740527001 | North Lr Medical Imaging LLC | Clinic/Center | 3320 Springhill Dr, Suite 200, N Little Rock, AR 72117-2922 | 2013-01-07 |
| 1760660351 | Med Imaging of Arkansas, Pllc | Clinic/Center | 6948 Alcoa Rd, Suite G, Benton, AR 72015-9726 | 2008-02-05 |
| 1487778593 | Us Radiology Partners of Texas Inc | Clinic/Center | 4201 Clubhouse Dr, Jonesboro, AR 72401-8078 | 2007-03-16 |
| 1568506715 | Arkansas Mri Services LLC | Clinic/Center | 1703 Phyllis St, Suite 101, Bentonville, AR 72712-7094 | 2007-02-19 |
| 1467492009 | Cabot Imaging Center, LLC | Clinic/Center | 2039 West Main Street, Suite A, Cabot, AR 72023 | 2006-06-08 |
| 1588265003 | Brittany Barber, Pllc | Clinic/Center | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2020-11-02 |
| 1013522127 | Sarc By Hsh Asc Pine Bluff | Clinic/Center | 7200 S Hazel St, Pine Bluff, AR 71603-7836 | 2020-09-15 |
| 1568086940 | Lansdell Enterprise Corp | Clinic/Center | 500 E Collin Raye Dr, De Queen, AR 71832-8048 | 2020-06-02 |
| 1649715681 | Chaffee Diagnostics LLC | Clinic/Center | 11300 Roberts Blvd, Fort Smith, AR 72916-6027 | 2016-12-29 |
| 1457706376 | 360 Imaging LLC | Clinic/Center | 3320 Springhill Dr, North Little Rock, AR 72117-2922 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH ARKANSAS OPEN MRI LLC.
| 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.