WEST BEND OPEN MRI, LLC (NPI# 1457356321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457356321 |
| Entity Type | Organization |
| Organization Name | WEST BEND OPEN MRI, LLC |
| Practice Address |
1016 Gateway Ct West Bend WI 53095-8541 |
| Practice Telephone | 2623347674 |
| Practice Fax Number | 2623347692 |
| Mailing Telephone | 2623347674 |
| Mailing Fax Number | 2623347692 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN A. METCALF (MANAGER) |
| Authorized Official Telephone | 2623347674 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21265300 | 05 |
| Street Address |
1016 GATEWAY CT |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-8541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114563707 | Bellin Memorial Hospital Inc | Clinic/Center | 1241 Lombardi Access Rd Ste H, Green Bay, WI 54304-4059 | 2019-11-19 |
| 1457918781 | Smart Choice Mri LLC | Clinic/Center | 1580 Heritage Blvd, West Salem, WI 54669-9418 | 2019-05-22 |
| 1225407075 | Smart Choice Mri, LLC | Clinic/Center | 3525 E Calumet St Ste 1500, Appleton, WI 54915-4181 | 2015-09-23 |
| 1356397616 | Newisconsin Mri Center of Green Bay LLC | Clinic/Center | 2141 Lime Kiln Rd, Green Bay, WI 54311-6215 | 2006-05-26 |
| 1518920883 | Bellin Memorial Hospital Inc | Clinic/Center | 740 S Vanburen St, Green Bay, WI 54301 | 2006-04-08 |
| 1841293552 | Eauclaire Open Mri, LLC | Clinic/Center | 4130 State Road 93, Eau Claire, WI 54701-7806 | 2005-05-27 |
| 1881697837 | Fox Valley Open Mri, LLC | Clinic/Center | 201 W Northland Ave, Appleton, WI 54911-2039 | 2005-05-23 |
| 1992268262 | Smart Choice Mri LLC | Clinic/Center | 1716 Lawrence Dr, De Pere, WI 54115-9108 | 2019-04-12 |
| 1548713506 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2016-07-26 |
| 1295100337 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2015-12-01 |
| 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.