OPEN MRI OF JACKSON, LLC (NPI# 1265528467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265528467 |
Entity Type | Organization |
Organization Name | OPEN MRI OF JACKSON, LLC |
Practice Address |
1 Layfair Dr Suite 315 Flowood MS 39232-9717 |
Practice Telephone | 6019366500 |
Practice Fax Number | 6019362027 |
Mailing Telephone | 6019366500 |
Mailing Fax Number | 6019362027 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2012-01-17 |
Authorized Official Name | DAVID BLUMENTHAL (PRESIDENT) |
Authorized Official Telephone | 6019366500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
MS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00123906 | 05 |
Street Address |
1 LAYFAIR DR SUITE 315 |
City | FLOWOOD |
State | MS |
Zip Code | 39232-9717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528094851 | Orhan Ilercil | Specialist | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2006-06-26 |
1356671556 | Mississippi Brain and Spine, Pllc | Specialist | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2010-01-11 |
1083841803 | Kathryn E Johnson | Dietitian, Registered | 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | 2009-06-18 |
1407098536 | Methodist Pain Management, LLC | Anesthesiology | 1 Layfair Dr, Suite 400, Flowood, MS 39232-9717 | 2009-04-06 |
1891972022 | Flowood Family Medicine, Pllc | Family Medicine | 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | 2008-01-30 |
1245433879 | Kevin Michael Young | Family Medicine | 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | 2007-06-10 |
1245389386 | Methodist Specialty Care Center | Nursing Facility/Intermediate Care Facility | 1 Layfair Dr, Suite 500, Flowood, MS 39232-9717 | 2007-01-09 |
1326116112 | Mississippi Neurosurgery and Spine Center,pllc | Neurological Surgery | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2006-12-01 |
1255427464 | Central Ms Diagnostics, LLC | Clinic/Center | 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717 | 2006-10-05 |
1790876811 | Leon M Grigoryev | Physical Medicine & Rehabilitation | 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | 2006-09-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
Find all providers in zip 39232 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568558385 | Central Ms Imaging LLC Dba Southern Diagnostic Imaging | Clinic/Center | 1037 N Flowood Dr, Flowood, MS 39232-9533 | 2006-10-05 |
1255427464 | Central Ms Diagnostics, LLC | Clinic/Center | 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114174539 | Radiology Clinic | Clinic/Center | 2400 Fifth Street North, Columbus, MS 39705-2000 | 2008-08-27 |
1902004997 | Miss-lou Ct Center, LLC | Clinic/Center | 140 Jeff Davis Blvd, Suite B, Natchez, MS 39120-5104 | 2007-07-11 |
1528179611 | Ridgeland Diagnostic Center | Clinic/Center | 730 Ridgewood Rd Ste C, Ridgeland, MS 39157-4426 | 2006-08-31 |
1275568347 | Preferred Imaging, LLC | Clinic/Center | 575 Highway 6 E, Batesville, MS 38606-3003 | 2006-07-11 |
1710351572 | Alliance Healthcare Services Inc | Clinic/Center | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2015-11-17 |
1013217074 | Sharkey Issaquena Comm Hospital - Radiology | Clinic/Center | 47 S Fourth St, Rolling Fork, MS 39159-5146 | 2010-10-25 |
1356520613 | Catx, Inc | Clinic/Center | 1421 E Peace St, A, Canton, MS 39046-4938 | 2007-11-02 |
1841404985 | Neshoba Physician Billing Service | Clinic/Center | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2007-05-09 |
1841304466 | Coastal County Imaging Services, LLC | Clinic/Center | 4320 15th St, Ste B, Gulfport, MS 39501-2524 | 2006-08-19 |
1396762209 | Singing River Radiology Group, Pa | Clinic/Center | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2006-07-16 |
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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.