ADA MRI ASSOCIATES, L.L.C. (NPI# 1922044841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922044841 |
| Entity Type | Organization |
| Organization Name | ADA MRI ASSOCIATES, L.L.C. |
| Other Organization Name | ADA OPEN MRI |
| Practice Address |
435 N Monte Vista St Suite B Ada OK 74820-4609 |
| Practice Telephone | 5803320400 |
| Practice Fax Number | 5803324269 |
| Mailing Telephone | 5803320400 |
| Mailing Fax Number | 5803324269 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RANDY WAYNE WICKERSHAM (VP OF OPERATIONS) |
| Authorized Official Telephone | 4054182200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
OK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ada Open MRI | Doing Business As Name - Organization |
| Street Address |
435 N MONTE VISTA ST SUITE B |
| City | ADA |
| State | OK |
| Zip Code | 74820-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780071571 | Douglas Thornton | Surgery | 435 N Monte Vista St, Ada, OK 74820-4676 | 2015-04-20 |
| 1265796023 | Celeste Coleen Adrian | Surgery | 435 N Monte Vista St, Ada, OK 74820-4676 | 2012-06-26 |
| 1972839041 | Burhan Hassan | Surgery | 435 N Monte Vista St, Ada, OK 74820-4676 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711710 | Tulsa Radiology and Imaging Center LLC | Clinic/Center | 5711 E 71st St Ste 100d, Tulsa, OK 74136-6655 | 2020-08-21 |
| 1114193174 | Rudy S Fernandez Md PC | Clinic/Center | 1023 Waterwood Pkwy, Edmond, OK 73034-5324 | 2008-04-30 |
| 1538345244 | Liberty Diagnostic Imaging of Okc LLC | Clinic/Center | 4001 Nw Expressway St, Oklahoma City, OK 73116-1686 | 2008-01-11 |
| 1558487108 | Open-sided Mri of Bartlesville, LLC | Clinic/Center | 4160 Se Adams Rd, Bldg B, Bartlesville, OK 74006-8410 | 2007-03-22 |
| 1184797185 | Advantage Diagnositc & Mri, LLC | Clinic/Center | 9149 S Yale Ave # 305, Tulsa, OK 74137-4024 | 2006-11-16 |
| 1013018795 | Open Mri of Durant,llc | Clinic/Center | 2911 W University Blvd, Durant, OK 74701-2978 | 2006-09-26 |
| 1114021284 | Southern Oklahoma Diagnostic Center, LLC | Clinic/Center | 1111 Walnut, Ardmore, OK 73401 | 2006-09-11 |
| 1922023175 | Shiloh Imaging Center LLC | Clinic/Center | 1415 N Watts St, Sayre, OK 73662-1310 | 2006-07-12 |
| 1942239702 | Vantage Open Mri LLC | Clinic/Center | 3400 W Hefner Rd, Oklahoma City, OK 73120-5083 | 2006-07-02 |
| 1689611303 | Midwest Open Mri, LLC | Clinic/Center | 2300 S Douglas Blvd, Midwest City, OK 73130-7114 | 2006-06-01 |
| Find all providers with the same taxonomy | ||||
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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.