CHESAPEAKE OPEN MRI LLC (NPI# 1780123323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780123323 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE OPEN MRI LLC |
| Other Organization Name | CHESAPEAKE MEDICAL IMAGING |
| Practice Address |
5961 Exchange Dr Level 1 Eldersburg MD 21784-9253 |
| Mailing Address |
Po Box 824106 Philadelphia PA 19182-4106 |
| Practice Telephone | 4106441880 |
| Practice Fax Number | 4103003160 |
| Mailing Telephone | 4109310400 |
| Mailing Fax Number | 4109311009 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | MR. MARK D. BAGANZ (PRESIDENT) |
| Authorized Official Telephone | 4105710350 |
| Authorized Official Credential | M.D. |
| 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 |
|---|---|
| Chesapeake Medical Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710426390 | Chesapeake Open Mri LLC | Radiology | 130 Love Point Rd, Suite 105, Stevensville, MD 21666-2132 | 2017-02-16 |
| 1891234472 | Chesapeake Open Mri LLC | Radiology | 910 Frederick Rd, Suite 100, Catonsville, MD 21228-4516 | 2017-02-16 |
| 1437698016 | Chesapeake Open Mri LLC | Radiology | 7801 Elvaton Ct, Suite 1, Glen Burnie, MD 21061-6763 | 2017-02-16 |
| 1164961744 | Chesapeake Open Mri LLC | Radiology | 600 Ridgely Ave, Suite 100, Annapolis, MD 21401-1001 | 2017-02-16 |
| 1982143566 | Chesapeake Open Mri LLC | Radiology | 4201 Northview Dr, Suite 105, Bowie, MD 20716-2604 | 2017-02-16 |
| 1134668767 | Chesapeake Open Mri LLC | Radiology | 510 Idlewild Ave, Suite 100, Easton, MD 21601-3881 | 2017-02-15 |
| 1174062707 | Chesapeake Open Mri LLC | Radiology | 120 Speer Rd, Suite 2, Chestertown, MD 21620-1044 | 2017-02-15 |
| 1114466745 | Chesapeake Open Mri LLC | Radiology | 8114 Sandpiper Cir, Suite 106, Nottingham, MD 21236-4934 | 2017-02-15 |
| 1518406156 | Chesapeake Open Mri LLC | Radiology | 1312 Bellona Ave, Suite 102, Lutherville, MD 21093-5400 | 2017-02-15 |
| 1851664122 | Chesapeake Open Mri LLC | Radiology | 4600 Wilkens Ave, Suite 103, Baltimore, MD 21229-4843 | 2012-02-17 |
| Street Address |
5961 EXCHANGE DR LEVEL 1 |
| City | ELDERSBURG |
| State | MD |
| Zip Code | 21784-9253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588097984 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 5961 Exchange Dr, Suite 100, Eldersburg, MD 21784 | 2013-08-21 |
| 1417330986 | Nicholas Misener | Physical Therapist | 5961 Exchange Dr, Suite 100, Eldersburg, MD 21784-9253 | 2015-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681085 | Kathleen Busching | Occupational Therapy Assistant | Intergrace Fairhaven, 7200 Third Ave, Sykesville, MD 21784 | 2018-12-31 |
| 1619450376 | Mackenzie Fleming | Counselor | 6220 Georgetown Blvd Suite C, Eldersburg, MD 21784 | 2018-09-10 |
| 1316426919 | Rebecca Rubin | Nurse Practitioner | 1380 Progress Way, Suite 102, Eldersburg, MD 21784 | 2018-08-14 |
| 1417473273 | Andrey Doroshenko | Dentist | 1722 Underwood Road, Sykesville, MD 21784 | 2017-08-14 |
| 1992229694 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 Georgetown Blvd, Eldersburg, MD 21784 | 2017-08-03 |
| 1457894495 | Bethany Six | Nurse Practitioner | 6190 Gerogetown Blvd, Eldersburg, MD 21784 | 2016-11-23 |
| 1982011821 | Fast Track Urgent Care, LLC | Clinic/Center | 1315 Breton Drive, Eldersburg, MD 21784 | 2014-07-11 |
| 1356690986 | Kayla Nicole Koster | Speech-Language Pathologist | 1702 Liberty Road, First Floor, Sykesville, MD 21784 | 2012-08-29 |
| 1558645663 | Fusion Dental | Dentist | 5959 Exchange Drive, Suite 116, Eldersburg, MD 21784 | 2011-10-07 |
| 1881987147 | Orthopaedic Associates of Central Md, Pa | Orthopaedic Surgery | 5961 Exchange Drive, Suite 100, Eldersburg, MD 21784 | 2011-05-19 |
| Find all providers in zip 21784 | ||||
| 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. |
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|---|---|---|---|---|
| 1760083281 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 5530 Wisconsin Ave Ste 1010, Chevy Chase, MD 20815-4324 | 2020-11-02 |
| 1326648346 | Physician Imaging of Washington Hospital Center LLC | Radiology | 3202 Tower Oaks Blvd Ste 120, Rockville, MD 20852-4263 | 2020-10-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1841703410 | Los Robles Radiologic Associates | Radiology | 7903 Terrapin Ct, Pikesville, MD 21208-3126 | 2017-11-06 |
| 1861905432 | Los Robles Radiologic Associates | Radiology | 9712 W Bexhill Dr, Kensington, MD 20895-3530 | 2017-11-06 |
| 1467993386 | Iv Radiology Medical Group | Radiology | 10000 Town Center Ave, Apt 244, Columbia, MD 21044-5418 | 2017-03-10 |
| 1962854166 | Michael Louis Sherman | Radiology | 11304 John Carroll Rd, Owings Mills, MD 21117-1658 | 2016-07-12 |
| 1346604295 | Physician Imaging of Washington Hospital Center, LLC | Radiology | 13950 Bradywine Road, Brandywine, MD 20613 | 2016-04-07 |
| 1700253473 | Peter Choyke | Radiology | Molecular Imaging Program Nci, Building 10, Room B3b69f, Bethesda, MD 20892-0001 | 2015-08-28 |
| 1235510983 | David Jinkyu Lee | Radiology | 601 N Caroline St # 3251, Baltimore, MD 21287-0006 | 2015-06-17 |
| Find all providers with the same taxonomy | ||||
| City | ELDERSBURG |
| Zip Code | 21784 |
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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.