NPIMap

Organization Active NPI

Western Hills Open MRI, LLC

Doing business as Proscan Imaging Westside

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1033109129
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0640IC Issued in OH
Legal business name
WESTERN HILLS OPEN MRI, LLC
Doing business as
Proscan Imaging Westside
Practice address
6125 Harrison Ave
Suite a
Cincinnati, OH 45247-2812
Phone
(513) 699-5565
Fax
(513) 699-5564
NPI assigned
Oct 28, 2005
Last updated
Mar 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Karen E Amaya
Title
Sr Director, Corporate Administ.
Phone
(513) 924-5174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0640IC OH Primary

Addresses

Primary practice location

6125 Harrison Ave
Suite a
Cincinnati, OH 45247-2812

Mailing address

6125 Harrison Ave
Suite a
Cincinnati, OH 45247-2812
Phone (513) 699-5565

Other identifiers 4

IdentifierTypeStateIssuer
2202413MedicaidOH
000000351219OtherOHANTHEM PIN
7100009600MedicaidKY
P00300862OtherOHRAILROAD MEDICARE

Other names 1

  • Proscan Imaging Westside Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141021001833 OH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6305882531 Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory

Locations

6125 Harrison Ave
Ste A
Cincinnati, OH 45247
Phone (513) 699-5565

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1033109129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 HARRISON AVE",
            "address_2": "SUITE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452472812",
            "telephone_number": "513-699-5565",
            "fax_number": "513-699-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 HARRISON AVE",
            "address_2": "SUITE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452472812",
            "telephone_number": "513-699-5565",
            "fax_number": "513-699-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN HILLS OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "AMAYA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR DIRECTOR, CORPORATE ADMINIST.",
        "authorized_official_telephone_number": "513-924-5174"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "0640IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202413",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000351219",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100009600",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00300862",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proscan Imaging Westside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.