Active NPI
Open MRI, LLC
- Physiological Laboratory
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- OPEN MRI, LLC
- Practice address
- 14245 Dedeaux Rd
Gulfport, MS 39503-3369 - Phone
- (228) 314-7226
- Fax
- (228) 314-7227
- NPI assigned
- Jul 13, 2006
- Last updated
- Jul 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William O Henry, MD
- Title
- Owner
- Phone
- (228) 314-7226
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
14245 Dedeaux Rd
Gulfport, MS 39503-3369
Mailing address
PO Box 2819
Gulfport, MS 39505-2819
Phone (228) 314-7226
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16169 | Medicaid | MS | |
| 1831232479 | Other | DR RICHARD HAYS NPI | |
| 10410 | Medicaid | MS | |
| 03733573 | Medicaid | MS | |
| 1144363771 | Other | DR WILLIAM HENRY NPI | |
| 1154338879 | Other | DIANNA RAGULA |
National Provider Directory
National Provider DirectoryLocations
1720C Medical Park Dr
Biloxi, MS 39532
Phone (228) 354-0251
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Specialist
- Gulfport, MS
- NPI 1144363771
-
- Diagnostic Radiology Physician
- Gulfport, MS
- NPI 1831232479
-
- Orthopaedic Surgery Physician
- Biloxi, MS
- NPI 1902827603
-
- Sports Medicine (Family Medicine) Physician
- Ocean Springs, MS
- NPI 1033137112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1265457030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2819",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395052819",
"telephone_number": "228-314-7226",
"fax_number": "228-314-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14245 DEDEAUX RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033369",
"telephone_number": "228-314-7226",
"fax_number": "228-314-7227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN MRI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-314-7226",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16169",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR RICHARD HAYS NPI",
"identifier": "1831232479",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10410",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03733573",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR WILLIAM HENRY NPI",
"identifier": "1144363771",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIANNA RAGULA",
"identifier": "1154338879",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.