MEDFORD OPEN IMAGING, LLC (NPI# 1033211867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033211867 |
| Entity Type | Organization |
| Organization Name | MEDFORD OPEN IMAGING, LLC |
| Other Organization Name | MEDFORD OPEN MRI, LLC |
| Practice Address |
1174 Progress Dr Suite 101 Medford OR 97504-4994 |
| Mailing Address |
205 Liberty St Ne Suite B Salem OR 97301-3586 |
| Practice Telephone | 5418578563 |
| Mailing Telephone | 5035860153 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | MICHAEL D FREEMAN (OWNER) |
| Authorized Official Telephone | 5035860153 |
| Authorized Official Credential | PHD DC MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medford Open MRI, LLC | Doing Business As Name - Organization |
| Street Address |
1174 PROGRESS DR SUITE 101 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529720 | Adam Rosario Kelley | Clinic/Center | 2604 S Main Rd, Lebanon, OR 97355-2338 | 2018-05-21 |
| 1700833472 | Siskiyou Imaging,llc | Clinic/Center | 278 Maple St, Ashland, OR 97520-1552 | 2006-05-28 |
| 1801841267 | Willamette Valley Imaging, LLC | Clinic/Center | 3003 N Delta Hwy, Suite 303, Eugene, OR 97408-7104 | 2006-05-24 |
| 1669037982 | Safe Harbor Medical Incorporated | Clinic/Center | 1026 Nw Sleret Ave, Gresham, OR 97030-5504 | 2019-05-02 |
| 1619468907 | Advanced Imaging LLC | Clinic/Center | 2604 S Main Rd, Lebanon, OR 97355-2338 | 2018-05-23 |
| 1275655755 | Medford Open Mri, LLC | Clinic/Center | 555 5th St, Suite 3, Brookings, OR 97415-9702 | 2007-04-04 |
| 1417098252 | Samaritan Open Mri LLC | Clinic/Center | 400 Nw Hickory Street, Albany, OR 97321-1700 | 2007-02-12 |
| 1831285501 | Columbia Pacific Imaging, Inc | Clinic/Center | 2055 Exchange St Ste 170, Astoria, OR 97103-3419 | 2006-10-04 |
| 1558309914 | Hull Imaging LLC | Clinic/Center | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-06-04 |
| 1487609426 | M. R . Imaging Associates Limited Partnership | Clinic/Center | 960 N 16th St, Suite 10, Springfield, OR 97477-4175 | 2006-05-24 |
| 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.