Active NPI
Chesapeake Open MRI
Doing business as Chesapeake Medical Imaging
- Diagnostic Radiology Physician
- Annapolis, MD
National Provider Identifier
1437320454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CHESAPEAKE OPEN MRI
- Doing business as
- Chesapeake Medical Imaging
- Practice address
- 122 Defense Hwy
Annapolis, MD 21401-7069 - Phone
- (410) 571-0350
- NPI assigned
- Mar 18, 2008
- Last updated
- Mar 18, 2008
- Organization subpart
- Yes
- Parent organization
- CHESAPEAKE OPEN MRI
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark D Baganz, M.D.
- Title
- President
- Phone
- (410) 571-0350
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
122 Defense Hwy
Annapolis, MD 21401-7069
Mailing address
122 Defense Hwy
Annapolis, MD 21401-7069
Phone (410) 571-0350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F855 | Other | DC | BLUE SHIELD |
| LX26CH | Other | MD | BLUE SHIELD |
Other names 1
- Chesapeake Medical Imaging
National Provider Directory
National Provider Directory- Part of
- Chesapeake Open MRI LLC
Practitioners & affiliated clinicians
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.
-
- Diagnostic Radiology Physician
- Annapolis, MD
- NPI 1982768966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1437320454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 DEFENSE HWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017069",
"telephone_number": "410-571-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 DEFENSE HWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017069",
"telephone_number": "410-571-0350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE OPEN MRI",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHESAPEAKE OPEN MRI",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "BAGANZ",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-571-0350",
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "F855",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "LX26CH",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chesapeake Medical Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Annapolis, MD
- Chesapeake Hearing Centers, Inc.
- Chesapeake Lymphedema and Physical Therapy LLC
- Chesapeake Medical Imaging (Chesapeake Open MRI)
- Chesapeake Occupational Therapy Associates, LLC
- Chesapeake Occupational Therapy Associates, LLC
- Chesapeake Open MRI L L C (Chesapeake Medical Imaging)
- Chesapeake Open MRI L L C (Chesapeake Medical Imaging)
- Chesapeake Open MRI L L C (Chesapeake Medical Imaging)
- Chesapeake Open MRI L L C (Chesapeake Medical Imaging)
- Chesapeake Pediatrics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.