Active NPI
Chesapeake Open MRI LLC
Doing business as Chesapeake Medical Imaging
- Diagnostic Radiology Physician
- Baltimore, MD
National Provider Identifier
1386931855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CHESAPEAKE OPEN MRI LLC
- Doing business as
- Chesapeake Medical Imaging
- Practice address
- 3421 Benson Ave
Suite 100
Baltimore, MD 21227-1056 - Phone
- (410) 644-1880
- NPI assigned
- Jul 6, 2011
- 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. Mark Douglas Baganz, M.D.
- Title
- Officer
- Phone
- (410) 571-0350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3421 Benson Ave
Suite 100
Baltimore, MD 21227-1056
Mailing address
3421 Benson Ave
Suite 100
Baltimore, MD 21227-1056
Phone (410) 644-1880
Other names 1
- Chesapeake Medical Imaging
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309910400000",
"number": "1386931855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 BENSON AVE",
"address_2": "SUITE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212271056",
"telephone_number": "410-644-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 BENSON AVE",
"address_2": "SUITE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212271056",
"telephone_number": "410-644-1880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE OPEN MRI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A",
"authorized_official_last_name": "BAGANZ",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "410-571-0350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chesapeake Medical Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
- Chesapeake Lithotripsy Ventures, L.P.
- Chesapeake Lithotripsy West, L.P.
- Chesapeake Mobile Lab
- Chesapeake Neurosurgery, LLC
- Chesapeake Open MRI L L C (Chesapeake Medical Imaging)
- Chesapeake Pain Management, LLC
- Chesapeake Recovery and Wellness Center
- Chesapeake Rehab Equipment Inc (Numotion)
- Chesapeake Rehabilitation Group, Inc.
- Chesapeake Urology Associates P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.