CHESAPEAKE OPEN MRI LLC (NPI# 1851664122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851664122 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE OPEN MRI LLC |
| Other Organization Name | CHESAPEAKE MEDICAL IMAGING |
| Practice Address |
4600 Wilkens Ave Suite 103 Baltimore MD 21229-4843 |
| Practice Telephone | 4102428335 |
| Practice Fax Number | 4102428339 |
| Mailing Telephone | 4102428335 |
| Mailing Fax Number | 4102428339 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |
| Authorized Official Name | DR. MARK BAGANZ (OFFICER) |
| Authorized Official Telephone | 4105710350 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D44496 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Chesapeake Medical Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710426390 | Chesapeake Open Mri LLC | Radiology | 130 Love Point Rd, Suite 105, Stevensville, MD 21666-2132 | 2017-02-16 |
| 1891234472 | Chesapeake Open Mri LLC | Radiology | 910 Frederick Rd, Suite 100, Catonsville, MD 21228-4516 | 2017-02-16 |
| 1437698016 | Chesapeake Open Mri LLC | Radiology | 7801 Elvaton Ct, Suite 1, Glen Burnie, MD 21061-6763 | 2017-02-16 |
| 1164961744 | Chesapeake Open Mri LLC | Radiology | 600 Ridgely Ave, Suite 100, Annapolis, MD 21401-1001 | 2017-02-16 |
| 1982143566 | Chesapeake Open Mri LLC | Radiology | 4201 Northview Dr, Suite 105, Bowie, MD 20716-2604 | 2017-02-16 |
| 1134668767 | Chesapeake Open Mri LLC | Radiology | 510 Idlewild Ave, Suite 100, Easton, MD 21601-3881 | 2017-02-15 |
| 1174062707 | Chesapeake Open Mri LLC | Radiology | 120 Speer Rd, Suite 2, Chestertown, MD 21620-1044 | 2017-02-15 |
| 1114466745 | Chesapeake Open Mri LLC | Radiology | 8114 Sandpiper Cir, Suite 106, Nottingham, MD 21236-4934 | 2017-02-15 |
| 1780123323 | Chesapeake Open Mri LLC | Radiology | 5961 Exchange Dr, Level 1, Eldersburg, MD 21784-9253 | 2017-02-15 |
| 1518406156 | Chesapeake Open Mri LLC | Radiology | 1312 Bellona Ave, Suite 102, Lutherville, MD 21093-5400 | 2017-02-15 |
| Street Address |
4600 WILKENS AVE SUITE 103 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-4843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568472272 | Joshua Aaron Levin | Chiropractor | 4600 Wilkens Ave, Suite 102, Baltimore, MD 21229-4843 | 2006-08-08 |
| 1841639846 | Oscar Cortez Mendez | General Practice | 4600 Wilkens Ave, Suite 106, Baltimore, MD 21229-4843 | 2013-06-24 |
| 1528242831 | Dean Scott Tippett | Psychiatry & Neurology | 4600 Wilkens Ave, Suite 107, Baltimore, MD 21229-4843 | 2007-12-21 |
| 1215066774 | Levin and Lippy Chiropractic PC | Chiropractor | 4600 Wilkens Ave, Suite 102, Baltimore, MD 21229-4843 | 2007-03-02 |
| 1609980283 | Dr. Swartz Imaging of Maryland | Radiology | 4600 Wilkens Ave, Suite 103, Baltimore, MD 21229-4843 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235510983 | David Jinkyu Lee | Radiology | 601 N Caroline St # 3251, Baltimore, MD 21287-0006 | 2015-06-17 |
| 1639556467 | Samarth Gola | Radiology | 601 N Caroline St Ofc 3014, Baltimore, MD 21287-0006 | 2015-04-30 |
| 1386059400 | Daniel Ryan | Radiology | 600 N. Wolfe Street Phipps Bldg, Room B-100, Baltimore, MD 21287 | 2014-06-26 |
| 1538415633 | Ammar K. Al-ibraheemi | Radiology | 601 N Wolfe St Rm 3235a, Baltimore, MD 21287-0004 | 2012-07-26 |
| 1609165042 | Sunpreet Singh Tandon | Radiology | 4940 Eastern Ave Fl 1, Baltimore, MD 21224-2735 | 2011-04-06 |
| 1639476948 | Byung Chul Yoon | Radiology | 1620 Mcelderry St Apt 515, Baltimore, MD 21205 | 2011-02-23 |
| 1730484619 | Howard Allen Davidov | Radiology | 7221 Denberg Rd, Baltimore, MD 21209-1038 | 2011-01-24 |
| 1306075056 | Elnasif Arrayeh | Radiology | 601 N Caroline St # 3235a, Baltimore, MD 21287-0006 | 2009-07-02 |
| 1922234558 | Kristin K. Porter | Radiology | Radiology Department Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287-0001 | 2009-06-10 |
| 1386884302 | Elizabeth Kristine Weihe | Radiology | 601 N Caroline St # 3142, Baltimore, MD 21287-7406 | 2009-03-03 |
| Find all providers in BALTIMORE | ||||
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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.