MEDFUND LLC (NPI# 1598768459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598768459 |
| Entity Type | Organization |
| Organization Name | MEDFUND LLC |
| Other Organization Name | HORIZON MRI OF SAN ANTONIO NORTH LLC |
| Practice Address |
109 Gallery Cir Ste 115 San Antonio TX 78258-3328 |
| Mailing Address |
240 N Washington Blvd Sarasota FL 34236-5945 |
| Practice Telephone | 2105453674 |
| Practice Fax Number | 2105453691 |
| Mailing Telephone | 9419253490 |
| Mailing Fax Number | 9419534452 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARTIN J KERN (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9419253490 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA/MEDSOLUTIONS -PPO | 7992617 | 01 | |
| AMERIGROUP | 242745 | 01 | |
| TX | BCBS PROV # | 0342DC | 01 |
| AETNA/MEDSOLUTIONS-HMO | 3537014 | 01 |
| Other Name | Type Code |
|---|---|
| Horizon MRI of San Antonio North LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204862 | Medfund LLC | Clinic/Center | 3020 S Harvard Ave, Tulsa, OK 74114-6126 | 2005-06-09 |
| 1437152121 | Medfund LLC | Clinic/Center | 500 N Semoran Blvd, Ste 103, Orlando, FL 32807-3381 | 2005-05-27 |
| 1710980644 | Medfund LLC | Clinic/Center | 3501 22nd St, Lubbock, TX 79410-1307 | 2005-05-24 |
| 1851394753 | Medfund LLC | Clinic/Center | 7440 Oakmont Blvd, Fort Worth, TX 76132-3904 | 2005-05-24 |
| 1285637074 | Medfund LLC | Clinic/Center | 17482 Northwest Fwy, Houston, TX 77040-1002 | 2005-05-24 |
| 1003819921 | Medfund LLC | Clinic/Center | 4041 W Wheatland Rd, Ste 178, Dallas, TX 75237-4061 | 2005-05-24 |
| 1174526909 | Medfund LLC | Clinic/Center | 1726 Rock Prairie Rd, College Station, TX 77845-5900 | 2005-05-24 |
| 1174526966 | Medfund LLC | Clinic/Center | 6550 N Macarthur Blvd, Ste 120, Irving, TX 75039-2823 | 2005-05-24 |
| 1811990617 | Medfund LLC | Clinic/Center | 9300 Emmett F Lowry Expy, Ste 148, Texas City, TX 77591-2133 | 2005-05-24 |
| 1790788875 | Medfund LLC | Clinic/Center | 301 Se 17th St, Ste 102, Ocala, FL 34471-4434 | 2005-05-23 |
| Street Address |
109 GALLERY CIR STE 115 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568710283 | Jamie Elizabeth Hayne | Physician Assistant | 109 Gallery Cir, Ste 131, San Antonio, TX 78258-3327 | 2012-08-28 |
| 1194081828 | Medical Center Ophthalmology Associates | Optometrist | 109 Gallery Cir, Suite 139, San Antonio, TX 78258-3327 | 2012-04-06 |
| 1487960753 | Stephen F. Ramirez, M.d., P.a. | Family Medicine | 109 Gallery Cir, Suite 131, San Antonio, TX 78258-3327 | 2010-08-25 |
| 1013231216 | Linda J. Banta, M.d., P.a. | Dermatology | 109 Gallery Cir, San Antonio, TX 78258-3327 | 2010-03-17 |
| 1225297278 | A1 Imaging of San Antonio LLC | Clinic/Center | 109 Gallery Cir, Suite 115, San Antonio, TX 78258-3327 | 2008-06-05 |
| 1558455469 | Tolbert S. Wilkinson | Specialist | 109 Gallery Cir, Suite 127, San Antonio, TX 78258-3327 | 2006-10-03 |
| 1144221359 | Linda J. Banta | Dermatology | 109 Gallery Cir, Suite 135, San Antonio, TX 78258-3327 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700304193 | Allied Imaging, LLC | Clinic/Center | 738 Barchester Dr, San Antonio, TX 78216-6121 | 2017-09-06 |
| 1750516282 | Roy English Jr | Clinic/Center | 4801 Fredericksburg Rd, San Antonio, TX 78229-3693 | 2009-05-28 |
| 1144476706 | Mission Mri, LLC | Clinic/Center | 115 Gallery Cir Ste 101, San Antonio, TX 78258-3389 | 2008-08-14 |
| 1871676643 | American Dynamic Imaging Ltd | Clinic/Center | 9627 Huebner Rd., Suite 100, San Antonio, TX 78240-1662 | 2006-10-23 |
| 1669475505 | Horizon Mri of San Antonio West LLC | Clinic/Center | 2140 Babcock Rd, San Antonio, TX 78229-4424 | 2005-05-24 |
| 1275045072 | Alliance Mri Stone Oak | Clinic/Center | 115 Gallery Cir Ste 101, San Antonio, TX 78258-3389 | 2017-11-02 |
| 1861896227 | Affordable Imaging | Clinic/Center | 4257 Nw Loop 410, Suite B, San Antonio, TX 78229-4710 | 2014-10-14 |
| 1851701445 | Creekside Open Mri Center LLC | Clinic/Center | 7300 Blanco Rd Ste 401, San Antonio, TX 78219-4939 | 2014-05-05 |
| 1154767358 | Samri, LLC | Clinic/Center | 9102 Floyd Curl Dr, San Antonio, TX 78240-1553 | 2013-05-14 |
| 1891008470 | Paesanos Parkway Imaging I LLC | Clinic/Center | 3603 Paesanos Pkwy, Suite 110, San Antonio, TX 78231-1267 | 2010-07-23 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on MEDFUND 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.