TALLGRASS OPEN MRI, L.L.C. (NPI# 1659468718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659468718 |
| Entity Type | Organization |
| Organization Name | TALLGRASS OPEN MRI, L.L.C. |
| Other Organization Name | TALLGRASS DIAGNOSTIC IMAGING |
| Practice Address |
7111 E 21st St N Suite B Wichita KS 67206-1078 |
| Practice Telephone | 3169254624 |
| Practice Fax Number | 3169254625 |
| Mailing Telephone | 3169254624 |
| Mailing Fax Number | 3169254625 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RANDY WAYNE WICKERSHAM (VP OF OPERATIONS) |
| Authorized Official Telephone | 4054182200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
KS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tallgrass Diagnostic Imaging | Doing Business As Name - Organization |
| Street Address |
7111 E 21ST ST N SUITE B |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345813 | David M Netherton | Family Medicine | 7111 E 21st St N, Suite A, Wichita, KS 67206 | 2005-06-11 |
| 1497157267 | Advanced Pt PCa, LLC | Occupational Therapist | 7111 E 21st St N, Ste D-103, Wichita, KS 67206-1090 | 2014-09-23 |
| 1760555205 | Physical Therapy Services At The Waterfront | Physical Therapist | 7111 E 21st St N, Ste D, Wichita, KS 67206-1078 | 2006-11-15 |
| 1124103379 | Tallgrass Imaging Associates, L.L.C. | Clinic/Center | 7111 E 21st St N, Suite B, Wichita, KS 67206-1078 | 2006-10-26 |
| 1508899113 | Jeanette Carmel Salone | Physical Medicine & Rehabilitation | 7111 E 21st St N, Suite E, Wichita, KS 67206-1090 | 2006-07-08 |
| 1568495117 | Wichita Occupational Rehab & Solutions Pa | Physical Medicine & Rehabilitation | 7111 E 21st St N, Suite E, Wichita, KS 67206-1090 | 2006-07-08 |
| 1275501082 | Rhonda K Charles | Pharmacist | 7111 E 21st St N, Suite C, Wichita, KS 67206-1078 | 2006-03-08 |
| 1508834581 | John Cavin Kraft | Pharmacist | 7111 E 21st St N, Suite C, Wichita, KS 67206-1078 | 2006-03-08 |
| 1679541585 | Family Prescription Shop Inc | Pharmacy | 7111 E 21st St N, Wichita, KS 67206-1090 | 2006-03-08 |
| 1033190327 | Joshua Darby | Physical Therapist | 7111 E 21st St N, Ste. D, Wichita, KS 67206-1078 | 2005-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104874510 | Haysville Diagnostic Center LLC | Clinic/Center | 2020 N Tyler Rd, Ste. # 114, Wichita, KS 67212-4916 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598723751 | Open Mri of Pittsburg, Kansas | Clinic/Center | 107 N Pine St, Pittsburg, KS 66762-4743 | 2006-05-03 |
| 1295791325 | Advanced Imaging Partners LLC | Clinic/Center | 508 Cleveland St, Great Bend, KS 67530-3562 | 2006-04-26 |
| 1487626073 | Topeka Imaging, LLC | Clinic/Center | 5648 Sw 29th St, Topeka, KS 66614-2443 | 2006-02-07 |
| 1932548864 | Pittsburg Imaging Center, LLC | Clinic/Center | 107 N Pine St, Pittsburg, KS 66762-4743 | 2013-06-25 |
| 1285936153 | Stormont Vail, Inc. | Clinic/Center | 731 Sw Mulvane St, Topeka, KS 66606-1665 | 2010-11-29 |
| 1922079441 | Leavenworth County Mri LLC | Clinic/Center | 1001 6th Ave, Suite 120, Leavenworth, KS 66048-3222 | 2006-02-01 |
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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.