NPIMap

Organization Active NPI

Open Advanced MRI of Vancouver PS

  • Surgical Technologist
  • Vancouver, WA
National Provider Identifier
1508203944
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
MD00038333 Issued in WA
Legal business name
OPEN ADVANCED MRI OF VANCOUVER PS
Practice address
221 NE 104TH Ave
Ste 106
Vancouver, WA 98664-4505
Phone
(503) 246-6666
Fax
(506) 246-9465
NPI assigned
May 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Dr. Anthony E Larhs, MD
Title
Medical Director
Phone
(503) 246-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZS0410X MD00038333 WA Primary

Addresses

Primary practice location

221 NE 104TH Ave
Ste 106
Vancouver, WA 98664-4505

Mailing address

221 NE 104TH Ave
Ste 106
Vancouver, WA 98664-4587
Phone (503) 246-6666

Other identifiers 3

IdentifierTypeStateIssuer
G8886867OtherWAMEDICARE PTAN
R171792OtherORMEDICARE PTAN
8251449MedicaidWA

National Provider Directory

National Provider Directory

Locations

221 NE 104th Ave
Ste 106
Vancouver, WA 98664
Phone (503) 246-6666

221G NE 104th Ave
Ste 106
Vancouver, WA 98664
Phone (360) 253-2525

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1508203944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NE 104TH AVE",
            "address_2": "STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644587",
            "telephone_number": "503-246-6666",
            "fax_number": "503-246-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NE 104TH AVE",
            "address_2": "STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644505",
            "telephone_number": "503-246-6666",
            "fax_number": "506-246-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ADVANCED MRI OF VANCOUVER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "LARHS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-246-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "WA",
            "license": "MD00038333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8886867",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R171792",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8251449",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.