OPEN AND WIDE MRI LLC (NPI# 1235185513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235185513 |
| Entity Type | Organization |
| Organization Name | OPEN AND WIDE MRI LLC |
| Practice Address |
2856 Eisenhower Dr N. Suite 1 Goshen IN 46528 |
| Mailing Address |
1732 Momentum Pl Chicago IL 60689-5317 |
| Practice Telephone | 5742669222 |
| Practice Fax Number | 5742669333 |
| Mailing Telephone | 8887199036 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | APRIL JONES (CLIENT REPRESENTATIVE) |
| Authorized Official Telephone | 3304939004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306883616 | Open and Wide Mri LLC | Radiology | 3050 Windsor Court, Elkhart, IN 46514-5555 | 2006-06-02 |
| Street Address |
2856 EISENHOWER DR N. SUITE 1 |
| City | GOSHEN |
| State | IN |
| Zip Code | 46528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972981140 | Brett Dyer | Nurse Anesthetist, Certified Registered | 20208 Deer Path Ct., Goshen, IN 46528 | 2015-05-08 |
| 1831490275 | Renee Danielle Gilligan | Physical Therapy Assistant | 57078 Appaloosa Court, Goshen, IN 46528 | 2010-11-16 |
| 1760620090 | Lisa A Levin | Social Worker | 330 Lakeview Drive, Goshen, IN 46528 | 2009-01-23 |
| 1346319290 | Martin's Super Market | Pharmacy | 1527 Bashor Road, Goshen, IN 46528 | 2006-11-07 |
| 1609977628 | Adams County Memorial Hospital | Skilled Nursing Facility | 2400 College Avenue, Goshen, IN 46528 | 2006-09-25 |
| 1336196591 | Carolin K. Marzouk | Nurse Practitioner | 213 Middlebury Street, Goshen, IN 46528 | 2006-05-31 |
| 1407341233 | Leah Kathryn Richardson | Registered Nurse | 213 Middlebury St, Goshen, IN 46528 | 2018-06-25 |
| 1619324126 | Rebecca E Johnson | Registered Nurse | 808 N 3rd St, Goshen, IN 46528 | 2016-05-16 |
| 1861850695 | Gerardo Diaz | Nurse Practitioner | 808 N 3rd St, Goshen, IN 46528 | 2016-02-08 |
| 1508257619 | Holli Elizabeth Perrin | Behavioral Analyst | 203 N 5th St, Goshen, IN 46528 | 2015-02-11 |
| Find all providers in zip 46528 | ||||
| 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 |
|---|---|---|---|---|
| 1861500670 | John Francis Maesaka | Radiology | 15730 County Road 28, Goshen, IN 46528-9670 | 2006-08-29 |
| 1225021413 | Neil Edward Staib Jr. | Radiology | 6898 Wes Curt Ln, Goshen, OH 45122-9545 | 2005-08-24 |
| 1255339537 | Helen Winer-muram | Radiology | 200 High Park Ave, Goshen, IN 46526-4810 | 2005-07-12 |
| 1164421863 | Lakshmi Gullapalli | Radiology | 200 High Park Ave, Goshen, IN 46526-4810 | 2005-07-15 |
| 1568460830 | Heartland Diagnostic Imaging | Radiology | 200 High Park Ave, Goshen, IN 46526-4810 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295448 | Hassan Sawaf | Radiology | 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 | 2020-01-30 |
| 1326695479 | Proscan Imaging of Greenwood, LLC | Radiology | 965 Emerson Pkwy Ste E, Greenwood, IN 46143-6274 | 2019-08-23 |
| 1598235566 | A Mri, LLC | Radiology | 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 | 2018-12-03 |
| 1033686639 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 220, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1689141285 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 351, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1598232241 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 350, Greenwood, IN 46143-8569 | 2018-10-31 |
| 1821571399 | Premier Medical Imaging LLC | Radiology | 2855 Miller Dr Ste 113, Plymouth, IN 46563-8091 | 2018-09-11 |
| 1922594225 | Lutheran Health Imaging LLC | Radiology | 1700 Alber St Ste 103, Wabash, IN 46992-1015 | 2018-07-10 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1093166274 | Medical Scanning Consultants, P.a. | Radiology | 3802 W Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
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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.