BMX IMAGING CENTER, LLC (NPI# 1780927723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780927723 |
| Entity Type | Organization |
| Organization Name | BMX IMAGING CENTER, LLC |
| Practice Address |
1069 Delaware Ave Suite 104b Marion OH 43302-1400 |
| Mailing Address |
1167 Independence Ave Suite 100 Marion OH 43302-6360 |
| Practice Telephone | 7403877200 |
| Practice Fax Number | 7403875728 |
| Mailing Telephone | 7403877200 |
| Mailing Fax Number | 7403875728 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-08-27 |
| Authorized Official Name | JAYBALAN MOODLEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7403877200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
| Street Address |
1069 DELAWARE AVE SUITE 104B |
| City | MARION |
| State | OH |
| Zip Code | 43302-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107489 | Raymond John Gardner | Family Medicine | 1069 Delaware Ave, Suite 200, Marion, OH 43302-1400 | 2005-07-08 |
| 1689207292 | Brandon Wilson | Nurse Practitioner | 1069 Delaware Ave, Marion, OH 43302-1400 | 2020-02-21 |
| 1902305907 | Kristin Mcintyre | Physical Therapist | 1069 Delaware Ave, Marion, OH 43302-1400 | 2018-02-05 |
| 1740634500 | Mima Inc. | Specialist | 1069 Delaware Ave, Ste 105, Marion, OH 43302-1400 | 2016-04-19 |
| 1871953174 | Bucyrus Community Hospital | Clinic/Center | 1069 Delaware Ave, Marion, OH 43302-1400 | 2016-02-29 |
| 1407253925 | Katie Hershey | Physical Therapist | 1069 Delaware Ave, Marion, OH 43302-1400 | 2014-11-26 |
| 1568893808 | Sd Cardiothoracic Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1069 Delaware Ave, Marion, OH 43302-1400 | 2013-12-12 |
| 1033557236 | Amanda I Gandert | Physician Assistant | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 | 2013-06-10 |
| 1700180585 | Lab One of Ohio Inc | Clinical Medical Laboratory | 1069 Delaware Ave, Suite 205c, Marion, OH 43302-6459 | 2011-01-07 |
| 1417259680 | Marion Independent Physicians Association, LLC | Family Medicine | 1069 Delaware Ave, Marion, OH 43302-1400 | 2010-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084853 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 6800 Ridge Rd Ste 130, Parma, OH 44129-5627 | 2020-05-11 |
| 1518589951 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 30400 Detroit Rd # 30, Westlake, OH 44145-1872 | 2020-05-08 |
| 1255953691 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 3443 Medina Rd Ste 103, Medina, OH 44256-5965 | 2020-05-08 |
| 1003388091 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 2500 W Strub Rd Ste 220, Sandusky, OH 44870-5390 | 2019-01-02 |
| 1932240801 | Columbus Mammography Center, Inc. | Clinic/Center | 974 Bethel Road, Suite F, Columbus, OH 43214 | 2007-02-12 |
| 1215989447 | University Suburban Health Center | Clinic/Center | 1611 South Green Road, Suite 016, South Euclid, OH 44121-4129 | 2006-05-16 |
| 1437116183 | The Community Hospital Mammography Center | Clinic/Center | 346 S Burnett Rd, Springfield, OH 45505-2604 | 2006-04-27 |
| 1588661144 | Women's Imaging and Wellness, Inc. | Clinic/Center | 5156 Blazer Pkwy, Ste 120, Dublin, OH 43017-7318 | 2005-06-28 |
| 1538781059 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 19250 Bagley Rd Ste 202, Middleburg Heights, OH 44130-3348 | 2020-05-07 |
| 1831711357 | Northern Ohio Medical Specialists, LLC | Clinic/Center | 4760 Richmond Rd Ste 300, Warrensville Heights, OH 44128-5979 | 2020-05-07 |
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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.