DECATUR OPEN MRI, INC.


Address: 2905 N Main St, Suite F, Decatur, IL 62526-4276
Phone: 2173306930

DECATUR OPEN MRI, INC. (NPI# 1508315086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508315086
Entity Type Organization
Organization Name DECATUR OPEN MRI, INC.
Practice Address 2905 N Main St
Suite F
Decatur
IL 62526-4276
Practice Telephone 2173306930
Practice Fax Number 2177916906
Mailing Telephone 2173306930
Mailing Fax Number 2177916906
Enumeration Date 2016-09-26
Last Update Date 2017-02-13
Authorized Official Name MR. WILLIAM CHRIS KEFALAS (ADMINISTRATOR)
Authorized Official Telephone 2175202262
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Office Location

Street Address 2905 N MAIN ST
SUITE F
City DECATUR
State IL
Zip Code 62526-4276

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811993405 John C. Kefalas, M.d.,s.c. Orthopaedic Surgery 2905 N Main St, Suite G, Decatur, IL 62526-4276 2005-06-28
1528434222 Angela L King Nurse Practitioner 2905 N Main St, Decatur, IL 62526-4274 2015-08-17
1821407818 Brentny Renfro Physician Assistant 2905 N Main St, Decatur, IL 62526-4274 2014-08-05
1073946141 Gabrielle K. Sauder Nurse Practitioner 2905 N Main St, Decatur, IL 62526-4274 2013-08-13
1770836991 Community Health Improvement Center Social Worker 2905 N Main St, Decatur, IL 62526-4274 2012-10-25
1528349834 Jessica Ann Conlin Nurse Practitioner 2905 N Main St, Decatur, IL 62526-4274 2011-08-31
1285930578 Amy E Marsili Social Worker 2905 N Main St, Decatur, IL 62526-4274 2011-02-03
1053620930 Cami Jo Kistenfeger Physician Assistant 2905 N Main St, Ste. G, Decatur, IL 62526-4274 2010-09-27
1447568605 Allison M Raiha Dietitian, Registered 2905 N Main St, Decatur, IL 62526-4274 2010-09-21
1518132877 Manisha Ahuja Internal Medicine 2905 N Main St, Decatur, IL 62526-4274 2008-04-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083100804 Coalition Non-emergency Medical Transport (VAN) 2375 N Longwood Dr, Decatur, IL 62526 2018-07-04
1881116820 Bria N Howard Nurse's Aide 606 E Warren St. Apt 609, Decatur, IL 62526 2017-07-12
1437683679 Lutheran Child and Family Services Foster Care Agency 2826 N. Monroe Street, Decatur, IL 62526 2017-04-14
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
1487053369 Central Illinois Health Associates, Inc Preferred Provider Organization 2300 N. Edward Street, Decatur, IL 62526 2014-08-18
1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
1174821540 Nathan Pyle Internal Medicine 2 Memorial Dr Ste 101, Decatur, IL 62526 2011-03-08
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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033179809 Open Mri of Decatur LLC Clinic/Center 1201 13th Avenue Se, Decatur, AL 35601 2006-03-25
1003830779 Community Open Mri of Auburn, LLC Clinic/Center 1401 N 13th St, Ste. B, Decatur, IN 46733-3139 2006-07-27
1558399147 Mds Imaging Inc Clinic/Center 465 Winn Way, Suite 160, Decatur, GA 30030 2006-06-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295385284 St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Clinic/Center 1512 N Green Mount Rd Ste 103, O Fallon, IL 62269-2083 2019-09-12
1326516584 Loretto Hospital Clinic/Center 7431 S East End Ave, Floor 1st Suite 2, Chicago, IL 60649-3611 2018-11-06
1164969838 Smart Choice Mri, LLC Clinic/Center 850 N Milwaukee Ave Ste 103, Vernon Hills, IL 60061-1553 2017-01-19
1417491655 Smart Choice Mri LLC Clinic/Center 757 E Boughton Rd, Bolingbrook, IL 60440-2281 2016-12-07
1205379229 Fulton Market Mri LLC Clinic/Center 559 W Kinzie St, Chicago, IL 60654-5702 2016-11-22
1477003267 Smart Choice Mri, LLC Clinic/Center 2752 Us Highway 34, Oswego, IL 60543 2016-10-05
1104376987 Smart Choice Mri, LLC Clinic/Center 2830 S Highland Ave Unit 9, Lombard, IL 60148-7135 2016-10-05
1922461664 Smart Choice Mri, LLC Clinic/Center 1850 N Clybourn Ave, Chicago, IL 60614-8048 2016-03-31
1144695511 Smart Choice Mri, LLC Clinic/Center 3560 Touhy Avenue, Skokie, IL 60076-6218 2015-12-10
1598130635 Smart Choice Mri LLC Clinic/Center 1406 N Meacham Rd, Schaumburg, IL 60173-4808 2015-12-01
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Competitor

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City DECATUR
Zip Code 62526

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Dataset Information

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.

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