KITTITAS VALLEY OPEN MRI CORP (NPI# 1427278126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427278126 |
| Entity Type | Organization |
| Organization Name | KITTITAS VALLEY OPEN MRI CORP |
| Practice Address |
100 E Jackson Ave Ellensburg WA 98926-3633 |
| Mailing Address |
301 Prospect St Ste 5 Bellingham WA 98225-4001 |
| Practice Telephone | 5098994175 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MATTHEW PAUL IZZI (MRI TECHNOLOGIST) |
| Authorized Official Telephone | 5098994175 |
| Authorized Official Credential | RT(R) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
100 E JACKSON AVE |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255409850 | Central Hand Therapy, PC | Physical Medicine & Rehabilitation | 100 E Jackson Ave, Suite 200, Ellensburg, WA 98926 | 2006-12-01 |
| 1437631959 | Kittitas County Public Hospital Dist 1 | Pediatrics | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2018-08-31 |
| 1043796956 | Kittitas County Public Hospital Dist 1 | Clinic/Center | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2018-07-13 |
| 1962938183 | Memorial Physicians, Pllc | Podiatrist | 100 E Jackson Ave, Suite 102, Ellensburg, WA 98926-3692 | 2017-05-08 |
| 1962949701 | Memorial Physicians, Pllc | Internal Medicine | 100 E Jackson Ave, Suite 102, Ellensburg, WA 98926-3692 | 2017-01-31 |
| 1205386505 | Canyon View Physical Therapy | Clinic/Center | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2016-10-11 |
| 1528514072 | Nicholas Gray | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2016-08-25 |
| 1124457387 | Canyon View Physical Therapy | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2013-11-07 |
| 1568802593 | Cheri D Harrell | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2013-07-05 |
| 1306189741 | Memorial Physicians, Pllc | Physical Medicine & Rehabilitation | 100 E Jackson Ave, Suite 102, Ellensburg, WA 98926-3692 | 2013-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238687 | Brett Delegard | Radiologic Technologist | 16528 E Desmet Ct Ste A1300, Spokane Valley, WA 99216-3522 | 2020-05-31 |
| 1255508974 | Scott Cartwright | Radiologic Technologist | 455 Se Sycamore Ln, Issaquah, WA 98027-4804 | 2008-05-12 |
| 1801877618 | Puyallup Open Imaging LLC | Radiologic Technologist | 12623 Meridian E, Ste A1, Puyallup, WA 98373-3469 | 2005-11-09 |
| City | ELLENSBURG |
| Zip Code | 98926 |
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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.