MEDFORD OPEN MRI, LLC (NPI# 1275655755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275655755 |
| Entity Type | Organization |
| Organization Name | MEDFORD OPEN MRI, LLC |
| Other Organization Name | BROOKINGS OPEN MRI |
| Practice Address |
555 5th St Suite 3 Brookings OR 97415-9702 |
| Mailing Address |
205 Liberty St Ne Suite B Salem OR 97301-3586 |
| Practice Telephone | 5414692170 |
| Mailing Telephone | 5035860153 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RANDY FUJIOKA (OPERATIONS MANAGER) |
| Authorized Official Telephone | 5035860153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Brookings Open MRI | Doing Business As Name - Organization |
| Street Address |
555 5TH ST SUITE 3 |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104856046 | Michael Edward Bisgrove | Family Medicine | 555 5th St, Suite #1, Brookings, OR 97415-9730 | 2006-07-04 |
| 1386844926 | Michael Kenneth Shaw | Internal Medicine | 555 5th St, Suite #1, Brookings, OR 97415-9730 | 2007-07-23 |
| 1306853296 | Sutter Coast Hospital | Clinic/Center | 555 5th St, Brookings, OR 97415-9730 | 2006-08-02 |
| 1194731703 | Juliane Leighton | Internal Medicine | 555 5th St, Suite 2, Brookings, OR 97415-9702 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529720 | Adam Rosario Kelley | Clinic/Center | 2604 S Main Rd, Lebanon, OR 97355-2338 | 2018-05-21 |
| 1033211867 | Medford Open Imaging, LLC | Clinic/Center | 1174 Progress Dr, Suite 101, Medford, OR 97504-4994 | 2006-09-02 |
| 1700833472 | Siskiyou Imaging,llc | Clinic/Center | 278 Maple St, Ashland, OR 97520-1552 | 2006-05-28 |
| 1801841267 | Willamette Valley Imaging, LLC | Clinic/Center | 3003 N Delta Hwy, Suite 303, Eugene, OR 97408-7104 | 2006-05-24 |
| 1669037982 | Safe Harbor Medical Incorporated | Clinic/Center | 1026 Nw Sleret Ave, Gresham, OR 97030-5504 | 2019-05-02 |
| 1619468907 | Advanced Imaging LLC | Clinic/Center | 2604 S Main Rd, Lebanon, OR 97355-2338 | 2018-05-23 |
| 1417098252 | Samaritan Open Mri LLC | Clinic/Center | 400 Nw Hickory Street, Albany, OR 97321-1700 | 2007-02-12 |
| 1831285501 | Columbia Pacific Imaging, Inc | Clinic/Center | 2055 Exchange St Ste 170, Astoria, OR 97103-3419 | 2006-10-04 |
| 1558309914 | Hull Imaging LLC | Clinic/Center | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-06-04 |
| 1487609426 | M. R . Imaging Associates Limited Partnership | Clinic/Center | 960 N 16th St, Suite 10, Springfield, OR 97477-4175 | 2006-05-24 |
| 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.