FAIRMONT DIAGNOSTIC CENTER AND OPEN MRI (NPI# 1811085772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811085772 |
| Entity Type | Organization |
| Organization Name | FAIRMONT DIAGNOSTIC CENTER AND OPEN MRI |
| Practice Address |
3692 E Sam Houston Pkwy S Pasadena TX 77505-3137 |
| Practice Telephone | 2814876736 |
| Practice Fax Number | 2814873187 |
| Mailing Telephone | 2814876736 |
| Mailing Fax Number | 2814873187 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | DR. JACK LEE BAKER (OWNER) |
| Authorized Official Telephone | 2814876736 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
MDJ2489 | TX | Ambulatory Health Care Facilities |
| Street Address |
3692 E SAM HOUSTON PKWY S |
| City | PASADENA |
| State | TX |
| Zip Code | 77505-3137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989577 | John David Beerbower | Specialist | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3102 | 2005-08-18 |
| 1740536598 | Hina Shafqat Hassan | Podiatrist | 3692 E Sam Houston Pkwy S, Suite 100, Pasadena, TX 77505-3136 | 2012-07-31 |
| 1437423381 | Frontier Radiology LLC | Clinic/Center | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2012-02-23 |
| 1235425059 | Fairmont Diagnostic and Mri Center LLC | Clinic/Center | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2011-06-20 |
| 1467742999 | Kevin J Owens Inc | Physiological Laboratory | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2011-04-18 |
| 1083903843 | Rockdale Blackhawk LLC | Physiological Laboratory | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2011-04-01 |
| 1821239583 | Edna I Reyes-guerrero | Podiatrist | 3692 E Sam Houston Pkwy S, Suite 100, Pasadena, TX 77505-3137 | 2009-03-10 |
| 1851571343 | Maria Elisa Miranda | Physical Therapist | 3692 E Sam Houston Pkwy S, Ste 101, Pasadena, TX 77505-3137 | 2007-11-13 |
| 1093916298 | Francisco J Cuza | Podiatrist | 3692 E Sam Houston Pkwy S, Suite 100, Pasadena, TX 77505-3137 | 2007-05-29 |
| 1154467322 | Louis Puig | Preventive Medicine | 3692 E Sam Houston Pkwy S, Ste 100, Pasadena, TX 77505 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
| 1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
| 1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
| Find all providers in zip 77505 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437323482 | Memorial Hermann Health System | Clinic/Center | 3620 Spencer Hwy, Pasadena, TX 77504-1112 | 2008-04-21 |
| 1437253556 | Pasadena Medical Imaging LLC | Clinic/Center | 751 Cordova Street, Suite #1, Pasadena, CA 91101-2617 | 2006-09-11 |
| 1598718835 | E+ Pet Imaging Xvii, L.p. | Clinic/Center | 6021 Fairmont Pkwy, Suite 120, Pasadena, TX 77505-4022 | 2006-05-18 |
| 1437423381 | Frontier Radiology LLC | Clinic/Center | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2012-02-23 |
| 1235425059 | Fairmont Diagnostic and Mri Center LLC | Clinic/Center | 3692 E Sam Houston Pkwy S, Pasadena, TX 77505-3137 | 2011-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515428 | Medical Referral Services, LLC | Clinic/Center | 2450 Nasa Pkwy Ste 125, Houston, TX 77058-3784 | 2020-10-16 |
| 1275144750 | Midland Imaging Center, LLC | Clinic/Center | 2106 N. Midland Dr., Ste 101, Midland, TX 79707-5503 | 2020-08-10 |
| 1134738453 | Origin Mri and Diagnostics | Clinic/Center | 9135 Katy Fwy Ste 102, Houston, TX 77024-1636 | 2020-07-23 |
| 1538777123 | Lexington Medical Imaging, LLC | Clinic/Center | 15925 Lexington Blvd, Sugar Land, TX 77479-2314 | 2020-07-20 |
| 1871101899 | Blue Star Imaging Sa, LLC | Clinic/Center | 112 Herff Rd, Boerne, TX 78006-2747 | 2020-07-15 |
| 1396362836 | Parkhill Imaging Clearfork LLC | Clinic/Center | 5656 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109-4136 | 2020-07-01 |
| 1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
| 1669093779 | Hi Tech Imaging, LLC | Clinic/Center | 423 Sw Military Dr, San Antonio, TX 78221-1654 | 2020-04-29 |
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
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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.