OPEN MRI OF MISSOURI II LLC (NPI# 1508869397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508869397 |
| Entity Type | Organization |
| Organization Name | OPEN MRI OF MISSOURI II LLC |
| Other Organization Name | NYDIC OPEN MRI OF AMERICA-INDEPENDENCE |
| Practice Address |
3431 S Hwy 291 Independence MO 64057-2341 |
| Mailing Address |
100 Paragon Dr Ste 200 Montvale NJ 07645-1718 |
| Practice Telephone | 8167956266 |
| Practice Fax Number | 8167956966 |
| Mailing Telephone | 2015738080 |
| Mailing Fax Number | 2015058905 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LAWRENCE M. BUCHWALTER (CEO) |
| Authorized Official Telephone | 2015738080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| X | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | UNITED HC OF THE MIDWEST | 16-00435 | 01 |
| MO | AETNA PPOS | 5057623 | 01 |
| MO | BCBS OF KANSAS CITY | 24822013 | 01 |
| MO | FIRST HEALTH NETWORK | 1151126 | 01 |
| MO | HEALTHLINK | 428178 | 01 |
| MO | COVENTRY HC OF KANSAS | 742299 | 01 |
| MO | AETNA HMO | 2042557 | 01 |
| MO | BCBS OF KANSAS | 402227 | 01 |
| MO | HEALTHCARE USA | 11720 | 01 |
| MO | MEDFOCUS | 17065 | 01 |
| MO | FIRSTGUARD HEALTH PLAN | 3987 | 01 |
| Other Name | Type Code |
|---|---|
| Nydic Open MRI of America-Independence | Doing Business As Name - Organization |
| Street Address |
3431 S HWY 291 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518152966 | Ramic Independence, LLC | Clinic/Center | 3431 S Hwy 291, Independence, MO 64057-2341 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548685753 | Spero Medical Imaging LLC | Clinic/Center | 17020 E Us Highway 40, Suite 4, Independence, MO 64055-5361 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750583423 | Team Diagnostics LLC | Clinic/Center | 102 C. Progress Drive, Sullivan, MO 63080-2359 | 2007-06-04 |
| 1598841140 | Mri of Springfield, Inc | Clinic/Center | 1420 E Bradford Pkwy, Springfield, MO 65804-6563 | 2006-10-27 |
| 1437253754 | Cyber Diagnostic Medicine LLC | Clinic/Center | 11901 W Florissant Ave, Florissant, MO 63033-6778 | 2006-09-08 |
| 1679688360 | Rivercity Imaging | Clinic/Center | 623 S Silver Springs Rd Ste 720, Cape Girardeau, MO 63703-7500 | 2006-08-20 |
| 1073522801 | Big Bend Imaging, LLC | Clinic/Center | 1001 S Kirkwood Rd Ste 110, Kirkwood, MO 63122-7250 | 2006-08-08 |
| 1730124918 | Open Mri of Missouri II, L.L.C. | Clinic/Center | 5650 Mexico Rd, Suite 10, Saint Peters, MO 63376-1696 | 2006-06-19 |
| 1659325876 | Precision Imaging, LLC | Clinic/Center | 1028 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2006-05-20 |
| 1407845472 | Poplar Bluff Medical Partners, LLC | Clinic/Center | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-10-20 |
| 1225466691 | Alpha Medical Imaging Inc | Clinic/Center | 5650 Mexico Rd, Suite 15, Saint Peters, MO 63376-1696 | 2013-10-23 |
| 1235439191 | Kennett Open Mri LLC | Clinic/Center | 402 Recovery Rd, Kennett, MO 63857-3235 | 2010-10-26 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.