Open MRI of Durant,LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

OPEN MRI OF DURANT,LLC

Practice address

2911 W University Blvd
Durant, OK 74701-2978

Phone

(580) 924-7030

Fax

(580) 924-5448

NPI assigned

Sep 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Savage

Title

Owner

Phone

(214) 504-6156

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colby Degiacomo, D.O.

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1033645361
  NPD
• Gregory Ryan Herting, DO

  • Diagnostic Radiology Physician
  • Orange, CA
  • NPI 1942838743
  NPD
• Jermaine Wade

  • Health Information Technician
  • Dallas, TX
  • NPI 1003286733
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1013018795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012978",
            "telephone_number": "580-924-7030",
            "fax_number": "580-924-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012978",
            "telephone_number": "580-924-7030",
            "fax_number": "580-924-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF DURANT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-504-6156"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200013350A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gale Ladawn Ollis
• Omnicare365, Inc.
• Onecare
• Onehealth LLC
• Heather L Onstott, MBS
• Kaliegh Orr
• Catherine Hope Osborn
• Osu Center for Health Sciences
• Osu Center for Health Sciences
• Osu Center for Health Sciences

• Magnetic Resonance Imaging (MRI) Clinic/Center in Durant, OK
• Providers in Durant, OK by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.