Active NPI
Open-Sided MRI of Bartlesville , LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Bartlesville, OK
National Provider Identifier
1558487108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- OPEN-SIDED MRI OF BARTLESVILLE , LLC
- Practice address
- 4160 SE Adams Rd
BLDG B
Bartlesville, OK 74006-8410 - Phone
- (918) 333-9674
- Fax
- (918) 333-9675
- NPI assigned
- Mar 22, 2007
- 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
- Weyton Wing-Ho Tam, MD
- Title
- Managing Partner
- Phone
- (918) 333-9674
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary |
Addresses
Primary practice location
4160 SE Adams Rd
BLDG B
Bartlesville, OK 74006-8410
Mailing address
PO Box 25016
Oklahoma City, OK 73125-0016
Phone (918) 333-9674
National Provider Directory
National Provider DirectoryLocations
4160 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 333-9674
4160 SE Adams Rd
Bldg B
Bartlesville, OK 74006
Phone (918) 333-9674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558487108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25016",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731250016",
"telephone_number": "918-333-9674",
"fax_number": "918-333-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 SE ADAMS RD",
"address_2": "BLDG B",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740068410",
"telephone_number": "918-333-9674",
"fax_number": "918-333-9675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN-SIDED MRI OF BARTLESVILLE , LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TAM",
"authorized_official_first_name": "WEYTON",
"authorized_official_middle_name": "WING-HO",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "918-333-9674",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.