NPIMap

Organization Active NPI

Frank Olney & Rudy Nicolas PTRS

Doing business as 611 Open MRI/CT, 611 MRI-CT, 611 MRI Altoona

  • Specialist
  • Altoona, PA
National Provider Identifier
1417918756
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
174400000X Issued in PA
Legal business name
FRANK OLNEY & RUDY NICOLAS PTRS
Doing business as
611 Open MRI/CT, 611 MRI-CT, 611 MRI Altoona
Practice address
2950 Fairway Dr
Altoona, PA 16602-4494
Phone
(814) 946-8000
Fax
(814) 946-8002
NPI assigned
Mar 28, 2006
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Mrs. Barbara A Neal
Title
President/Administrator
Phone
(814) 946-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 174400000X PA Primary
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

2950 Fairway Dr
Altoona, PA 16602-4494

Mailing address

2950 Fairway Dr
Altoona, PA 16602-4494
Phone (814) 946-8000

Other identifiers 1

IdentifierTypeStateIssuer
001198051MedicaidPA

Other names 1

  • 611 Open MRI/CT, 611 MRI-CT, 611 MRI Altoona Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120608000415 PA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4981598265 Practice locations: Altoona, PA

National Provider Directory

National Provider Directory

Locations

2950 Fairway Dr
Altoona, PA 16602
Phone (814) 946-8000

2950 Fairway Dr
#611
Altoona, PA 16602
Phone (814) 946-8000

611 University Dr
#611
State College, PA 16801
Phone (814) 234-2600

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1417918756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 FAIRWAY DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024494",
            "telephone_number": "814-946-8000",
            "fax_number": "814-946-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 FAIRWAY DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024494",
            "telephone_number": "814-946-8000",
            "fax_number": "814-946-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK OLNEY & RUDY NICOLAS PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "814-946-8000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "174400000X",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001198051",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "611 Open MRI/CT, 611 MRI-CT, 611 MRI Altoona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.