OPEN MRI OF DECATUR LLC (NPI# 1033179809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033179809 |
| Entity Type | Organization |
| Organization Name | OPEN MRI OF DECATUR LLC |
| Practice Address |
1201 13th Avenue Se Decatur AL 35601 |
| Mailing Address |
Po Box 4003 Macon GA 31208 |
| Practice Telephone | 2563507779 |
| Practice Fax Number | 2563502272 |
| Mailing Telephone | 4787559966 |
| Mailing Fax Number | 4787559964 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | PETER O HOLLIDAY III (DIRECTOR) |
| Authorized Official Telephone | 4784742360 |
| 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 |
1201 13TH AVENUE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508315086 | Decatur Open Mri, Inc. | Clinic/Center | 2905 N Main St, Suite F, Decatur, IL 62526-4276 | 2016-09-26 |
| 1003830779 | Community Open Mri of Auburn, LLC | Clinic/Center | 1401 N 13th St, Ste. B, Decatur, IN 46733-3139 | 2006-07-27 |
| 1558399147 | Mds Imaging Inc | Clinic/Center | 465 Winn Way, Suite 160, Decatur, GA 30030 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003055336 | Birmingham Radiological Group, PC | Clinic/Center | 1011 Lay Dam Road, Clanton, AL 35045 | 2009-02-10 |
| 1548409873 | Birmingham Radiological Group, PC | Clinic/Center | 1809 Dahlke Drive Ne, Cullman, AL 35058 | 2009-02-10 |
| 1881808400 | Walker Medical Diagnostics, LLC | Clinic/Center | 1450 Jones Dairy Rd Ste 600, Jasper, AL 35501-6109 | 2007-05-10 |
| 1982748216 | Renaissance Imaging Services | Clinic/Center | 2457 Mall Rd, Florence, AL 35630-2809 | 2007-02-19 |
| 1740204346 | Enterprise Open Mri, LLC | Clinic/Center | 100 Professional Lane Suite B, Enterprise, AL 36330 | 2006-07-27 |
| 1164443602 | The Mri Center of Northwest Alabama LLC | Clinic/Center | 150 Medical Dr., Winfield, AL 35594 | 2006-07-21 |
| 1831137363 | Birmingham Radiological Group, PC | Clinic/Center | 1088 9th Ave Sw, Bessemer, AL 35022-4530 | 2006-06-04 |
| 1033173687 | Open Mri of Marshall LLC | Clinic/Center | 12119 Us Hwy 431 South, Guntersville, AL 35976 | 2006-04-12 |
| 1417928409 | Open Mri of Sylacauga, LLC | Clinic/Center | 395 James Payton Blvd, Sylacauga, AL 35150-8064 | 2006-01-30 |
| 1801867890 | Open Mri On 280, LLC | Clinic/Center | 1 Independence Plz Ste 140, Homewood, AL 35209-2629 | 2006-01-30 |
| Find all providers with the same taxonomy | ||||
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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.