STAND UP OPEN MRI OF INDIANA LLC (NPI# 1255755245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255755245 |
| Entity Type | Organization |
| Organization Name | STAND UP OPEN MRI OF INDIANA LLC |
| Practice Address |
509 Ridge Rd Munster IN 46321-1643 |
| Mailing Address |
P.o. Box 270543 Tampa FL 33688-0543 |
| Practice Telephone | 8504791805 |
| Practice Fax Number | 8504791829 |
| Mailing Telephone | 2195131000 |
| Mailing Fax Number | 2195131090 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | AARON BRYANT MONTGOMERY (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 8504330674 |
| Authorized Official Credential | M.D. |
| 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 |
509 RIDGE RD |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700992625 | Terry Wayne Ebert | Specialist | 509 Ridge Rd, Suite 1, Munster, IN 46321-1643 | 2006-08-22 |
| 1871880112 | Adult and Pediatric Eye Specialists Corp | Ophthalmology | 509 Ridge Rd, Suite #3, Munster, IN 46321-1643 | 2011-07-07 |
| 1417173717 | Terry Ebert, Md, Inc | Clinic/Center | 509 Ridge Rd, Suite 1, Munster, IN 46321-1643 | 2007-04-17 |
| 1972646461 | David M Radovich | Dentist | 509 Ridge Rd, Munster, IN 46321-1643 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992262695 | Munster Medical Imaging Inc | Clinic/Center | 625 Ridge Rd Ste A, Munster, IN 46321-1695 | 2019-02-28 |
| 1144707399 | Northwestern Imaging, LLC | Clinic/Center | 1946 45th St, Munster, IN 46321-3986 | 2018-07-20 |
| 1851794317 | Munster Open Mri & Imaging Inc | Clinic/Center | 8840 Calumet Ave, Suite 102, Munster, IN 46321-2545 | 2014-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285177980 | Direct Imaging LLC | Clinic/Center | 1355 Getz Rd., Suite B, Fort Wayne, IN 46804-1612 | 2016-11-29 |
| 1013361377 | Fort Wayne Upright Mri, LLC | Clinic/Center | 6811 Lima Rd, Fort Wayne, IN 46818-1145 | 2016-04-22 |
| 1396132957 | Easy Mri, Inc. | Clinic/Center | 9921 Coldwater Rd, Fort Wayne, IN 46825-2041 | 2015-04-22 |
| 1972829372 | Elevated Diagnostic Imaging and Pain Management Center LLC | Clinic/Center | 1642 Olive Branch Park Ln, Greenwood, IN 46143-6447 | 2010-04-12 |
| 1023201316 | Community Open Mri of Auburn LLC | Clinic/Center | 2428 Lake Ave, Fort Wayne, IN 46805-5406 | 2007-08-21 |
| 1447340351 | Indiana Mri of Terre Haute, LLC | Clinic/Center | 4313 S 7th St, Terre Haute, IN 47802-4365 | 2006-10-13 |
| 1417971177 | Community Open Mri of Auburn, LLC | Clinic/Center | 411 Smith Dr, Auburn, IN 46706-3655 | 2006-07-27 |
| 1831119213 | Binford Imaging & Diagnostic Center LLC | Clinic/Center | 5500 East 65th St, Ste 100, Indianapolis, IN 46220 | 2006-07-20 |
| 1609811769 | Opensided Mri of Louisville, LLC | Clinic/Center | 120 W Court Ave, Jeffersonville, IN 47130 | 2006-06-20 |
| 1447252200 | Northern Indiana Magnetic Resonance Center, LLP | Clinic/Center | 17333 Dugdale Dr, South Bend, IN 46635-1500 | 2005-08-11 |
| 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.