CHESAPEAKE OPEN MRI LLC (NPI# 1164961744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164961744 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE OPEN MRI LLC |
| Other Organization Name | CHESAPEAKE MEDICAL IMAGING |
| Practice Address |
600 Ridgely Ave Suite 100 Annapolis MD 21401-1001 |
| Mailing Address |
Po Box 824106 Philadelphia PA 19182-4106 |
| Practice Telephone | 4102669715 |
| Practice Fax Number | 4102669717 |
| Mailing Telephone | 4109310400 |
| Mailing Fax Number | 4109311009 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MR. MARK D. BAGANZ (PRESIDENT) |
| Authorized Official Telephone | 4105710350 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Chesapeake Medical Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710426390 | Chesapeake Open Mri LLC | Radiology | 130 Love Point Rd, Suite 105, Stevensville, MD 21666-2132 | 2017-02-16 |
| 1891234472 | Chesapeake Open Mri LLC | Radiology | 910 Frederick Rd, Suite 100, Catonsville, MD 21228-4516 | 2017-02-16 |
| 1437698016 | Chesapeake Open Mri LLC | Radiology | 7801 Elvaton Ct, Suite 1, Glen Burnie, MD 21061-6763 | 2017-02-16 |
| 1982143566 | Chesapeake Open Mri LLC | Radiology | 4201 Northview Dr, Suite 105, Bowie, MD 20716-2604 | 2017-02-16 |
| 1134668767 | Chesapeake Open Mri LLC | Radiology | 510 Idlewild Ave, Suite 100, Easton, MD 21601-3881 | 2017-02-15 |
| 1174062707 | Chesapeake Open Mri LLC | Radiology | 120 Speer Rd, Suite 2, Chestertown, MD 21620-1044 | 2017-02-15 |
| 1114466745 | Chesapeake Open Mri LLC | Radiology | 8114 Sandpiper Cir, Suite 106, Nottingham, MD 21236-4934 | 2017-02-15 |
| 1780123323 | Chesapeake Open Mri LLC | Radiology | 5961 Exchange Dr, Level 1, Eldersburg, MD 21784-9253 | 2017-02-15 |
| 1518406156 | Chesapeake Open Mri LLC | Radiology | 1312 Bellona Ave, Suite 102, Lutherville, MD 21093-5400 | 2017-02-15 |
| 1851664122 | Chesapeake Open Mri LLC | Radiology | 4600 Wilkens Ave, Suite 103, Baltimore, MD 21229-4843 | 2012-02-17 |
| Street Address |
600 RIDGELY AVE SUITE 100 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426045 | Anne Arundel Urology, Pa | Specialist | 600 Ridgely Ave, Ste 130, Annapolis, MD 21401-1045 | 2005-06-09 |
| 1114339447 | Kaitlin Jaqua | Urology | 600 Ridgely Ave, Ste 130, Annapolis, MD 21401-1045 | 2014-05-21 |
| 1629338322 | Chesapeake Hearing Centers, Inc. | Clinic/Center | 600 Ridgely Ave, Ste 110, Annapolis, MD 21401-1001 | 2012-05-29 |
| 1619236973 | Christopher Emilio Graziano | Surgery | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2012-05-08 |
| 1003108549 | Shaoqing Zhou | Urology | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2011-05-03 |
| 1457588048 | Heather Denise Langford | Speech-Language Pathologist | 600 Ridgely Ave, Suite 230, Annapolis, MD 21401-1001 | 2009-06-22 |
| 1346476462 | Bic Nhu Cung | Urology | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2009-06-03 |
| 1487888053 | Amy A Hoffman | Physician Assistant | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2009-05-11 |
| 1275730673 | Robert B. Meek, IIi, M.d.pa. | Specialist | 600 Ridgely Ave, Suite 110, Annapolis, MD 21401-1001 | 2007-06-28 |
| 1629271507 | Jiakai Zhu | Urology | 600 Ridgely Ave, Suite 130, Annapolis, MD 21401-1001 | 2007-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093706251 | Thomas B. Lank | Radiology | 122 Defense Hwy, Chesapeake Medical Imaging, Annapolis, MD 21401-7069 | 2005-11-04 |
| 1477078053 | Fmca Pa | Radiology | 2562 Hidden Cove Rd, Annapolis, MD 21401-6815 | 2017-08-04 |
| 1598027633 | Jasleen Chopra | Radiology | 2002 Medical Pkwy Ste 235, Annapolis, MD 21401-3260 | 2012-06-14 |
| 1396076642 | Chesapeake Open Mri LLC | Radiology | 122 Defense Hwy, Annapolis, MD 21401-7069 | 2010-01-27 |
| 1598927063 | Marit Connor Duffy | Radiology | 2002 Medical Pkwy Ste 235, Annapolis, MD 21401-3260 | 2008-06-26 |
| 1194998484 | Chesapeake Medical Imaging | Radiology | 108 Forbes St, Annapolis, MD 21401-1502 | 2008-04-08 |
| 1437320454 | Chesapeake Open Mri | Radiology | 122 Defense Hwy, Annapolis, MD 21401-7069 | 2008-03-18 |
| 1578768024 | Christopher Patrick Myers | Radiology | 2002 Medical Pkwy Ste 235, Annapolis, MD 21401-3260 | 2007-06-15 |
| 1932314507 | Ketan Nalin Naran | Radiology | 122 Defense Hwy, Chesapeake Medical Imaging, Annapolis, MD 21401-7069 | 2007-05-14 |
| 1326171760 | Amy E Sarina | Radiology | 2002 Medical Pkwy, Suite 235, Annapolis, MD 21401-3046 | 2007-03-14 |
| Find all providers in ANNAPOLIS | ||||
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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.