Iron Horse Amigos

Primary specialty

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

Legal business name

IRON HORSE AMIGOS

Doing business as

Angelo MRI

Practice address

4114 S Jackson Street
San Angelo, TX 76903-6377

Phone

(325) 703-6741

NPI assigned

Oct 13, 2017

Last updated

Feb 21, 2018By 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

Clinton Reichenaus

Title

Partner

Phone

(325) 234-8889

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ANGELO MRI Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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.

• Chien I. Yang, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1609860279
  NPD

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1255842555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 S JACKSON STREET",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036377",
            "telephone_number": "325-703-6741",
            "fax_number": "325-703-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 S JACKSON STREET",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036377",
            "telephone_number": "325-703-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON HORSE AMIGOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "REICHENAUS",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "325-234-8889"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1036DC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGELO MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brittany Grace Irizarry
• Scott Emerson Itz, ATC, LAT
• IV League Health & Wellness
• David L Ivans, MD
• J David Vance DDS PA Kristin L Goodwin DDS PA LLP (Vance and Goodwin DDS)
• Ja Medical Services, PA

• Magnetic Resonance Imaging (MRI) Clinic/Center in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.