ALLIANCE MRI WOODFOREST LLC (NPI# 1053940494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053940494 |
| Entity Type | Organization |
| Organization Name | ALLIANCE MRI WOODFOREST LLC |
| Other Organization Name | ALLIANCE MRI WOODFOREST |
| Practice Address |
750 Fish Creek Thoroughfare Suite 180 Montgomery TX 77316 |
| Mailing Address |
9811 Katy Fwy Ste 1075 Houston TX 77024-1281 |
| Practice Telephone | 7134683842 |
| Mailing Telephone | 7134683842 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | ETHAN SANDERS (PARTNER) |
| Authorized Official Telephone | 7134683842 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Alliance MRI Woodforest | Doing Business As Name - Organization |
| Street Address |
750 FISH CREEK THOROUGHFARE SUITE 180 |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457997058 | Kristynik Eye Care Pllc | Optometrist | 791 Fish Creek Thoroughfare, Suite 50, Montgomery, TX 77316 | 2019-11-19 |
| 1710532684 | Knee Scooters Houston LLC | Durable Medical Equipment & Medical Supplies | 9937 Chestnut Ct, Montgomery, TX 77316 | 2019-08-07 |
| 1134772270 | Sandstone Medical | Clinic/Center | 795 Fish Creek Thoroughfare Ste 270, Montgomery, TX 77316 | 2019-07-18 |
| 1356801195 | Woodforest Fine Dentistry | Clinic/Center | 791 Fish Creek Thoroughfare Ste 40, Montgomery, TX 77316 | 2019-03-20 |
| 1467923169 | Jody Michele Reed | Counselor | 6360 Honea Egypt Rd, Montgomery, TX 77316 | 2018-12-06 |
| 1811490949 | Gregory Crocker | Chiropractor | 125 Blue Herron Dr Suite B, Montgomery, TX 77316 | 2018-03-15 |
| 1114302122 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2180 Woodforest Parkway N, Montgomery, TX 77316 | 2015-07-21 |
| 1518376698 | Jennifer Miller Hobock | Dentist | 2300 Woodforest Pkwy N, Ste 700, Montgomery, TX 77316 | 2014-08-04 |
| 1861815342 | Reese Ochoa | Chiropractor | 125 Blue Heron Dr Ste B, Montgomery, TX 77316 | 2014-02-04 |
| 1285721613 | Emmett Sterling Huff IIi | Emergency Medicine | 119 Monterrey Pines Drive, Montgomery, TX 77316 | 2006-10-06 |
| Find all providers in zip 77316 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1770866444 | Lighthouse Physician Services, Pllc | Radiology | 427 Trace Way Dr, Montgomery, TX 77316-6852 | 2011-09-20 |
| 1174769871 | Telerad of Alabama Account Management | Radiology | 181 Tensaw Rd, Montgomery, AL 36117-4125 | 2008-12-30 |
| 1205808755 | Ross Barnett | Radiology | 7094 University Ct, Montgomery, AL 36117-6992 | 2006-02-07 |
| 1194700450 | Gary Wayne Scott | Radiology | 1825 Park Pl, Montgomery, AL 36106-1149 | 2005-12-09 |
| 1861477127 | Kenneth Joe Richardson | Radiology | 1825 Park Place, Montgomery, AL 36117-3439 | 2005-12-09 |
| 1730173121 | Mary M Karst | Radiology | 2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 | 2005-08-31 |
| 1750382883 | Mulberry Diagnostic Imaging | Radiology | 2100 Chestnut St, Montgomery, AL 36106-1113 | 2005-08-10 |
| 1841696622 | Imi Radiology, Pllc | Radiology | 249 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2014-11-06 |
| 1932535556 | Hoover Radiology, LLC | Radiology | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2013-09-16 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 77316 |
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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.