Organization Active NPI

Open MRI of Beaver Valley, LTD

  • Specialist
  • Monaca, PA
National Provider Identifier
1306899869
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OPEN MRI OF BEAVER VALLEY, LTD
Practice address
3468 Brodhead Rd
Monaca, PA 15061-3149
Phone
(724) 728-2991
Fax
(724) 728-1961
NPI assigned
May 18, 2006
Last updated
Jul 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Sharon L Kinemond
Title
Owner
Phone
(740) 266-4908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3468 Brodhead Rd
Monaca, PA 15061-3149

Mailing address

3468 Brodhead Rd
Monaca, PA 15061-3149
Phone (724) 728-2991

Other identifiers 1

IdentifierTypeStateIssuer
00199077930001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1306899869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613149",
            "telephone_number": "724-728-2991",
            "fax_number": "724-728-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613149",
            "telephone_number": "724-728-2991",
            "fax_number": "724-728-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF BEAVER VALLEY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "KINEMOND",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-266-4908"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00199077930001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.