Open MRI of Okeechobee LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

OPEN MRI OF OKEECHOBEE LLC

Practice address

115 NE 3Rd St
Suite a
Okeechobee, FL 34972-2944

Phone

(863) 824-6736

Fax

(863) 824-6737

NPI assigned

Mar 14, 2006

Last updated

Mar 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Linda M Moody

Title

Insurance Billing Specialist

Phone

(863) 824-6736

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Juan C. Pelaez, M.D.

  • Specialist
  • Stuart, FL
  • NPI 1417174830
  NPD (past)
• Andrew T. Walker, M.D.

  • Specialist
  • Stuart, FL
  • NPI 1932233384
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1093783292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NE 3RD ST",
            "address_2": "SUITE A",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722944",
            "telephone_number": "863-824-6736",
            "fax_number": "863-824-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NE 3RD ST",
            "address_2": "SUITE A",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722944",
            "telephone_number": "863-824-6736",
            "fax_number": "863-824-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF OKEECHOBEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE BILLING SPECIALIST",
        "authorized_official_telephone_number": "863-824-6736",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "V2486",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Okeechobee Senior Services
• Okeechobee SNF Operations, LLC
• Okeechobee Value Specs, LLC
• Okeechobee's Best Hearing
• Ashley Nicole Oliver, PHARMD
• Orthopaedic Center of Okeechobee, PA
• Jose R. Ortiz, M.D.
• Simeon Usifo Osemota, M.D.
• Our Village Okeechobee
• Deanna L. Ousley, LMT

• Diagnostic Radiology Physician in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.