NEW HAMPSHIRE OPEN MRI LLC (NPI# 1437364965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437364965 |
| Entity Type | Organization |
| Organization Name | NEW HAMPSHIRE OPEN MRI LLC |
| Practice Address |
8 Commerce Ave Suite 4 West Lebanon NH 03784-1669 |
| Practice Telephone | 6032986736 |
| Practice Fax Number | 6032986737 |
| Mailing Telephone | 6032986736 |
| Mailing Fax Number | 6032986737 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | MR. TODD C KUMMER (MANAGING MEMBER) |
| Authorized Official Telephone | 8028631249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30816062 | 05 | |
| VT | 1014020 | 05 |
| Street Address |
8 COMMERCE AVE SUITE 4 |
| City | WEST LEBANON |
| State | NH |
| Zip Code | 03784-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313637 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 262 Planfield Road, West Lebanon, NH 03784 | 2020-10-15 |
| 1851776108 | Jessica Michelle Eid | Optometrist | 10 Benning St Ste 10, West Lebanon, NH 03784 | 2015-07-29 |
| 1972666774 | Richard Daniel Blake | Chiropractor | 8 Glen Road, Powerhouse Mall, W Lebanon, NH 03784 | 2006-12-19 |
| 1629159629 | Linda M Wierwille | Marriage & Family Therapist | Child and Family Services 3 Abbott Avenue, West Lebanon Plaza, West Lebanon, NH 03784 | 2006-10-17 |
| 1154352284 | K Mart Corp | Pharmacy | Rte 12 A, West Lebanon, NH 03784 | 2006-07-06 |
| 1770057572 | Angelica Ema Walsh | Physician Assistant | 24 Airport Rd, West Lebanon, NH 03784 | 2019-01-15 |
| 1477077790 | Alexandra Culver | Pharmacist | 3 Airport Rd, West Lebanon, NH 03784 | 2017-07-28 |
| 1215204961 | Maine Professional Opticians | Hearing Instrument Specialist | 8 Glen Rd, 23 Power House Mall, West Lebanon, NH 03784 | 2011-11-23 |
| 1487734190 | Jennifer R Kravitz | Physical Therapist | 103 S Main St, Green Mountain Physical Therapy Lnc, W Lebanon, NH 03784 | 2006-10-17 |
| 1982252805 | Michelle Kathryn Grojean | Speech-Language Pathologist | 55 Sachem Cir, West Lebanon, NH 03784-1029 | 2019-09-04 |
| Find all providers in zip 03784 | ||||
| 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 |
|---|---|---|---|---|
| 1366813859 | Amjad Massoud | Radiology | 18 Sheafe St, Portsmouth, NH 03801-3818 | 2015-10-09 |
| 1437392131 | Elizabeth Fleming Clemente | Radiology | 2 1/2 Beacon St Ste 199, Concord, NH 03301-4447 | 2009-04-09 |
| 1154585867 | Brett Schneider | Radiology | 87 Spring St Ste 101, Laconia, NH 03246-3135 | 2008-07-11 |
| 1508026626 | Banu Oner | Radiology | 3 Kendall Pond Rd, Derry, NH 03038-7201 | 2008-06-12 |
| 1083805519 | Carl Richard Makarewicz | Radiology | 15 Mill Rd, Derry, NH 03038-4617 | 2007-08-08 |
| 1891825329 | Boris P Bushueff | Radiology | 2354 George Hill Road, West Springfield, NH 03284 | 2007-03-06 |
| 1063548105 | John A Howell | Radiology | 38 Fairway Lane, Whitefield, NH 03598 | 2007-02-25 |
| 1659427490 | White Mountain Radiology, P.C. | Radiology | Littleton Regional Hospital, 600 St. Johnsbury Road, Littleton, NH 03561 | 2007-01-26 |
| 1407933930 | Karen Collette Jensen | Radiology | 14 Adams Road, Jackson, NH 03846 | 2006-11-01 |
| 1407962277 | Robert V Dallas | Radiology | 67 Timber Ln, Box 861, Franconia, NH 03580-5021 | 2006-08-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST LEBANON |
| Zip Code | 03784 |
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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.