OPEN MRI OF GEORGIA, INC (NPI# 1588897508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588897508 |
| Entity Type | Organization |
| Organization Name | OPEN MRI OF GEORGIA, INC |
| Other Organization Name | LAWRENCEVILLE OPEN MRI |
| Practice Address |
600 Professional Dr Suite 100 Lawrenceville GA 30045-7651 |
| Mailing Address |
Po Box 932391 Atlanta GA 31193-2391 |
| Practice Telephone | 7709634445 |
| Practice Fax Number | 7709635282 |
| Mailing Telephone | 6783935600 |
| Mailing Fax Number | 7703009018 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | MR. DANIEL J SCHAEFER (C.O.O.) |
| Authorized Official Telephone | 7703000101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lawrenceville Open MRI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972735009 | Open Mri of Georgia, Inc | Radiology | 2859 N Decatur Rd, Decatur, GA 30033-5911 | 2009-08-24 |
| 1568695690 | Open Mri of Georgia, Inc | Radiology | 10670 Medlock Bridge Rd Ste A, Duluth, GA 30097-8441 | 2009-08-24 |
| 1497081202 | Open Mri of Georgia, Inc | Radiology | 1035 Southcrest Dr, Suite 120, Stockbridge, GA 30281-6118 | 2009-10-29 |
| 1104059138 | Open Mri of Georgia, Inc | Radiology | 300 Parkbrooke Pl, Suite 170, Woodstock, GA 30189-7209 | 2009-08-25 |
| 1154554145 | Open Mri of Georgia, Inc | Radiology | 6630 Mcginnis Ferry Rd, Duluth, GA 30097-1542 | 2009-08-25 |
| 1871726950 | Open Mri of Georgia, Inc | Radiology | 1608 Tree Ln, Suite 400, Snellville, GA 30078-2399 | 2009-08-24 |
| 1376775403 | Open Mri of Georgia, Inc | Radiology | 2287 Salem Rd Se, Conyers, GA 30013-2025 | 2009-08-24 |
| 1255564324 | Open Mri of Georgia, Inc | Radiology | 1400 Hembree Rd, Suite 150, Roswell, GA 30076-5719 | 2009-08-24 |
| 1295967321 | Open Mri of Georgia, Inc | Radiology | 3200 Cobb Galleria Pkwy, Suite 120, Atlanta, GA 30339-5927 | 2009-08-24 |
| 1710110846 | Open Mri of Georgia, Inc | Radiology | 535 N Central Ave, Hapeville, GA 30354-1603 | 2009-08-24 |
| Street Address |
600 PROFESSIONAL DR SUITE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-7651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211949 | Yazan Houssami | Psychiatry & Neurology | 600 Professional Dr, Ste 110, Lawrenceville, GA 30046-7651 | 2005-08-02 |
| 1720512635 | Avvc Medical, LLC | Clinic/Center | 600 Professional Dr, Lawrenceville, GA 30046-7651 | 2017-04-18 |
| 1942675640 | Atlanta Hand Therapy LLC | Occupational Therapist | 600 Professional Dr, Suite 100, Lawrenceville, GA 30046-7651 | 2015-12-07 |
| 1215302906 | Radius Surgery Center LLC | Clinic/Center | 600 Professional Dr, Suite 150, Lawrenceville, GA 30046-7651 | 2015-12-07 |
| 1982074431 | Avvc Anesthesia, LLC | Clinic/Center | 600 Professional Dr, Suite 160a, Lawrenceville, GA 30046-7651 | 2015-09-28 |
| 1538546114 | Atlanta Vascular and Vein Center, LLC | Clinic/Center | 600 Professional Dr, Suite 160a, Lawrenceville, GA 30046-7651 | 2015-05-02 |
| 1427435007 | Avvsc Lawrenceville, LLC | Clinic/Center | 600 Professional Dr, Suite 160b, Lawrenceville, GA 30046-7651 | 2015-05-02 |
| 1912221359 | Amish Tilara | Radiology | 600 Professional Dr, Suite 160a, Lawrenceville, GA 30046-7651 | 2010-03-14 |
| 1811152507 | Corinne F. Quinn M.d., P.C. | Internal Medicine | 600 Professional Dr, 130, Lawrenceville, GA 30045-7651 | 2008-07-23 |
| 1841498151 | Courtney C. Brooks Jr., M.d., P.C. | Internal Medicine | 600 Professional Dr, Suite 170, Lawrenceville, GA 30045-7651 | 2007-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| 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 |
|---|---|---|---|---|
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| 1346740230 | Alliance Health Care Inc | Radiology | 3545 Cruse Rd Ste 103, Lawrenceville, GA 30044-3169 | 2018-02-16 |
| 1467984054 | Brian Arun Xavier | Radiology | 665 Duluth Hwy, Suite 401, Lawrenceville, GA 30046-3328 | 2017-04-01 |
| 1811440522 | Women's Imaging Specialists | Radiology | 1655 Lebanon Rd, Suite B, Lawrenceville, GA 30043-5116 | 2016-07-28 |
| 1912221359 | Amish Tilara | Radiology | 600 Professional Dr, Suite 160a, Lawrenceville, GA 30046-7651 | 2010-03-14 |
| 1588824825 | Mark G. Ferrara | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2008-06-10 |
| 1477711919 | Justin Derek Caughron | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2008-05-31 |
| 1295911808 | David Nelson Anderson | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2008-01-14 |
| 1841482478 | Lance G. Dasher | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2007-08-17 |
| 1124227368 | Aurora J. Peacock | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2007-07-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.