OPEN-SIDED MRI OF BARTLESVILLE , LLC (NPI# 1558487108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558487108 |
| Entity Type | Organization |
| Organization Name | OPEN-SIDED MRI OF BARTLESVILLE , LLC |
| Practice Address |
4160 Se Adams Rd Bldg B Bartlesville OK 74006-8410 |
| Mailing Address |
Po Box 25016 Oklahoma City OK 73125-0016 |
| Practice Telephone | 9183339674 |
| Practice Fax Number | 9183339675 |
| Mailing Telephone | 9183339674 |
| Mailing Fax Number | 9183339675 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WEYTON WING-HO TAM (MANAGING PARTNER) |
| Authorized Official Telephone | 9183339674 |
| Authorized Official Credential | MD |
| 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 |
| Street Address |
4160 SE ADAMS RD BLDG B |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-8410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700332129 | Advanced Imaging Resources Co | Clinic/Center | 4160 Se Adams Rd, #101, Bartlesville, OK 74006-8499 | 2016-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711710 | Tulsa Radiology and Imaging Center LLC | Clinic/Center | 5711 E 71st St Ste 100d, Tulsa, OK 74136-6655 | 2020-08-21 |
| 1114193174 | Rudy S Fernandez Md PC | Clinic/Center | 1023 Waterwood Pkwy, Edmond, OK 73034-5324 | 2008-04-30 |
| 1538345244 | Liberty Diagnostic Imaging of Okc LLC | Clinic/Center | 4001 Nw Expressway St, Oklahoma City, OK 73116-1686 | 2008-01-11 |
| 1184797185 | Advantage Diagnositc & Mri, LLC | Clinic/Center | 9149 S Yale Ave # 305, Tulsa, OK 74137-4024 | 2006-11-16 |
| 1013018795 | Open Mri of Durant,llc | Clinic/Center | 2911 W University Blvd, Durant, OK 74701-2978 | 2006-09-26 |
| 1114021284 | Southern Oklahoma Diagnostic Center, LLC | Clinic/Center | 1111 Walnut, Ardmore, OK 73401 | 2006-09-11 |
| 1922023175 | Shiloh Imaging Center LLC | Clinic/Center | 1415 N Watts St, Sayre, OK 73662-1310 | 2006-07-12 |
| 1942239702 | Vantage Open Mri LLC | Clinic/Center | 3400 W Hefner Rd, Oklahoma City, OK 73120-5083 | 2006-07-02 |
| 1922044841 | Ada Mri Associates, L.L.C. | Clinic/Center | 435 N Monte Vista St, Suite B, Ada, OK 74820-4609 | 2006-06-20 |
| 1689611303 | Midwest Open Mri, LLC | Clinic/Center | 2300 S Douglas Blvd, Midwest City, OK 73130-7114 | 2006-06-01 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
Please comment or provide details below to improve the information on OPEN-SIDED MRI OF BARTLESVILLE , LLC.
| 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.