NPIMap

Organization Active NPI

Community Physicians Open MRI, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Springfield, OH
National Provider Identifier
1235186305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
0604IC Issued in OH
Legal business name
COMMUNITY PHYSICIANS OPEN MRI, LLC
Practice address
2200 N Limestone St
Suite 114 & 108
Springfield, OH 45503-2665
Phone
(937) 342-0302
Fax
(937) 342-0435
NPI assigned
May 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Valerie Nelson II
Title
Senior Director, Ancillary Services
Phone
(937) 328-9520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 0604IC OH Primary

Addresses

Primary practice location

2200 N Limestone St
Suite 114 & 108
Springfield, OH 45503-2665

Mailing address

247 S Burnett Rd
Suite 110
Springfield, OH 45505-2639
Phone (937) 328-9090

Other identifiers 1

IdentifierTypeStateIssuer
2167882MedicaidOH

National Provider Directory

National Provider Directory

Locations

2200 N Limestone St
Springfield, OH 45503
Phone (937) 342-0302

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235186305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S BURNETT RD",
            "address_2": "SUITE 110",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455052639",
            "telephone_number": "937-328-9090",
            "fax_number": "937-525-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N LIMESTONE ST",
            "address_2": "SUITE 114 & 108",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032665",
            "telephone_number": "937-342-0302",
            "fax_number": "937-342-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICIANS OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, ANCILLARY SERVICES",
        "authorized_official_telephone_number": "937-328-9520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OH",
            "license": "0604IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2167882",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.