OPEN MRI OF CONNELLSVILLE LLC (NPI# 1558347567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558347567 |
| Entity Type | Organization |
| Organization Name | OPEN MRI OF CONNELLSVILLE LLC |
| Practice Address |
2616 Memorial Blvd Connellsville PA 15425-1418 |
| Mailing Address |
Po Box 450 New Stanton PA 15672-0450 |
| Practice Telephone | 7246202812 |
| Practice Fax Number | 7246202815 |
| Mailing Telephone | 7249252330 |
| Mailing Fax Number | 7249257816 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JACE D KELLER (TREASURER) |
| Authorized Official Telephone | 7249252280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| X | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018227030003 | 05 | |
| PA | HIGHMARK BCBS | 011682 | 01 |
| Street Address |
2616 MEMORIAL BLVD |
| City | CONNELLSVILLE |
| State | PA |
| Zip Code | 15425-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851731178 | Carla Mcclintock | Nurse Practitioner | 2616 Memorial Blvd, Suite B, Connellsville, PA 15425-1418 | 2013-07-01 |
| 1962665018 | Conn Family Medicine, P.C. | Family Medicine | 2616 Memorial Blvd, Suite B, Connellsville, PA 15425-1418 | 2008-07-09 |
| 1912924804 | Excela Health Physician Practices | Family Medicine | 2616 Memorial Blvd, Suite B, Connellsville, PA 15425-1418 | 2006-07-16 |
| 1306800073 | Jay Eric Cunningham | Podiatrist | 2616 Memorial Blvd, D, Connellsville, PA 15425-1418 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194272666 | Jennifer Knapp | Counselor | 416 South Pittsburgh Street, Connellsville, PA 15425 | 2016-09-01 |
| 1104290550 | Joseph Slezak | Obstetrics & Gynecology | 159 Keefer Rd, Connesville, PA 15425 | 2015-11-23 |
| 1134564297 | Keli Dawn De Carlo | Counselor | 416 S. Pittsburgh Street, Connellsville Counseling and Psychological Services, Connellsville, PA 15425 | 2013-05-02 |
| 1376823047 | Judith Anne Bell | Family Medicine | 2620-c Memorial Blvd, Highlands Medical, Connellsville, PA 15425 | 2011-08-25 |
| 1891928727 | Laura Ann Barricklow | Pharmacist | 200 Memorial Blvd, Connellsville, PA 15425 | 2009-08-26 |
| 1942323373 | Steven John Roth | Pharmacist | Rt 119 and York Avenue, Connellsville, PA 15425 | 2007-04-09 |
| 1124140694 | Chomiak Dental Associates | Dentist | 215 Noth Pittsburgh Street, Suite B, Connellsville, PA 15425 | 2007-04-04 |
| 1245359470 | Mark A Chemski | Pharmacist | Route 119 and York Ave, Connellsville, PA 15425 | 2007-03-28 |
| 1669590857 | Polepalli S Setty Md Inc | Internal Medicine | 2900 Memorial Blvd, Connellsville, PA 15425 | 2007-03-26 |
| 1376661876 | Connellsville Counseling & Psychological Services | Counselor | 416 South Pittsburgh St, Connellsville, PA 15425 | 2007-03-26 |
| Find all providers in zip 15425 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719919 | Penn Diagnostic Co. | Clinic/Center | 2014 North 3rd St, Philadelphia, PA 19122 | 2020-10-29 |
| 1538621032 | Vincera Imaging LLC | Clinic/Center | 1200 Constitution Ave Ste 120, Philadelphia, PA 19112-1323 | 2019-04-03 |
| 1215475090 | World Wellness Health Institute | Clinic/Center | 111 Presidential Blvd Ste 159, Bala Cynwyd, PA 19004-1005 | 2017-02-01 |
| 1851842355 | Infinity Care Inc | Clinic/Center | 4 Averstone Ct, Holland, PA 18966-2610 | 2016-10-19 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1467606558 | Sherry S Shang LLC | Clinic/Center | 384 Yorkshire Rd, Bryn Mawr, PA 19010-1216 | 2008-11-17 |
| 1386812196 | James Dennis Flynn | Clinic/Center | 6599 Town Center Blvd Apt 423, James Dennis Flynn, Huntingdon, PA 16652 | 2008-02-14 |
| 1831371152 | Futura Health System | Clinic/Center | 1300 Chestnut St, Suite 305, Philadelphia, PA 19107-4513 | 2007-11-28 |
| 1598961930 | Pmx Provider Services Corporation | Clinic/Center | 501 Gainsboro Road, Drexel Hill, PA 19026-1213 | 2007-06-22 |
| 1215132709 | Us Vascular Access Center of Philadelphia, LLC | Clinic/Center | 4220 Market St, Second Floor, Philadelphia, PA 19104-3007 | 2007-06-15 |
| Find all providers with the same taxonomy | ||||
| City | CONNELLSVILLE |
| Zip Code | 15425 |
Please comment or provide details below to improve the information on OPEN MRI OF CONNELLSVILLE LLC.
| 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.