OPEN DIAGNOSTIC IMAGING, LLC (NPI# 1336114446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336114446 |
| Entity Type | Organization |
| Organization Name | OPEN DIAGNOSTIC IMAGING, LLC |
| Other Organization Name | WILLOWBEND DIAGNOSTIC IMAGING |
| Practice Address |
5025 W Park Blvd Suite 500 Plano TX 75093-2584 |
| Practice Telephone | 9725961934 |
| Practice Fax Number | 9725964934 |
| Mailing Telephone | 9725961934 |
| Mailing Fax Number | 9725964934 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-12-30 |
| Authorized Official Name | CRAIG CUNNINGHAM (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2148268822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
R25645 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1446932-02 | 05 |
| Other Name | Type Code |
|---|---|
| WILLOWBEND DIAGNOSTIC IMAGING | Doing Business As Name - Organization |
| Street Address |
5025 W PARK BLVD SUITE 500 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-2584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164829214 | Methodist-cdi | Radiology | 5025 W Park Blvd, Bldg A, Suite 500, Plano, TX 75093-2584 | 2014-12-04 |
| 1851621288 | Willowbend Diagnostic Imaging, Pllc | Radiology | 5025 W Park Blvd, Bldg A, Suite 500, Plano, TX 75093-2584 | 2010-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1346692894 | Clearvue Center, LLC | Clinic/Center | 4090 Mapleshade Lane, Plano, TX 75075 | 2016-07-08 |
| 1740601863 | North Star Plano Parkway, Lp | Clinic/Center | 6101 W Plano Pkwy Ste 150, Plano, TX 75093-8201 | 2013-12-16 |
| 1538105796 | 3t Diagnostic Imaging Center | Clinic/Center | 5948 W Parker Rd, Suite B, Plano, TX 75093-7732 | 2006-06-22 |
| 1598364358 | Pro Diagnostics Pllc | Clinic/Center | 7504 San Jacinto Pl, Plano, TX 75024-3233 | 2020-10-22 |
| 1699387647 | North Star Npt, Lp | Clinic/Center | 6101 W Plano Pkwy Ste 150, Plano, TX 75093-8201 | 2020-08-20 |
| 1174865539 | Glennhollow Medical Imaging LLC | Clinic/Center | 3060 Communications Pkwy, Suite 103, Plano, TX 75093-8449 | 2013-03-25 |
| 1619270840 | Erca Imaging Centers | Clinic/Center | 6501 Preston Rd, Plano, TX 75024-2610 | 2010-12-09 |
| 1881912335 | Vista Pem Providers, LLC | Clinic/Center | 5072 W Plano Pkwy, Suite 190, Plano, TX 75093-4476 | 2010-05-07 |
| 1871810978 | Windhaven Medical Imaging.llc | Clinic/Center | 6160 Windhaven Pkwy, Suite 100, Plano, TX 75093-8099 | 2010-04-28 |
| Find all providers in PLANO | ||||
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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.