BOSTON OPEN MRI, LLC (NPI# 1902809064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902809064 |
| Entity Type | Organization |
| Organization Name | BOSTON OPEN MRI, LLC |
| Practice Address |
385 Western Ave Brighton MA 02135-1005 |
| Practice Telephone | 6177821690 |
| Practice Fax Number | 6177821735 |
| Mailing Telephone | 6177821690 |
| Mailing Fax Number | 6177821735 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5024771815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1531760 | 05 |
| Street Address |
385 WESTERN AVE |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134178312 | Shields Healthcare of Cambridge, Inc. | Clinic/Center | 385 Western Ave, Brighton, MA 02135-1005 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518328269 | Amy Mcclernan | Radiologic Technologist | 19 Carter Rd, Foxboro, MA 02035-1531 | 2016-03-09 |
| 1205883568 | Caritas Christi Diagnostic Support Services | Radiologic Technologist | 325 N. Pearl Street, Caritas Good Samaritan Medical Center, Brockton, MA 02301-1162 | 2006-05-30 |
| 1124361381 | Maria Donnelly | Radiologic Technologist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2013-04-05 |
| 1447518287 | Mohamed B Hashem | Radiologic Technologist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2012-04-30 |
Please comment or provide details below to improve the information on BOSTON OPEN MRI, 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.