MRI of Springfield, Inc

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MRI OF SPRINGFIELD, INC

Practice address

1420 E Bradford Pkwy
Springfield, MO 65804-6563

Phone

(417) 885-1100

Fax

(417) 885-1109

NPI assigned

Oct 27, 2006

Last updated

Jun 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Henry E Boots II

Title

VP

Phone

(573) 315-9109

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 7

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.

• Gregory Cizek, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1477544724
  NPD
• David Andrew Dusek, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1619188133
  NPD
• Osler Jay Justo Guzon, MD

  • Cardiovascular Disease Physician
  • Saint Louis, MO
  • NPI 1285683888
  NPD
• Matthew Ruyle, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1497736904
  NPD
• James Douglas Schoen, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1053392324
  NPD
• David W Wu, M.D.

  • Diagnostic Radiology Physician
  • McHenry, IL
  • NPI 1477538874
  NPD
• Dan T Sullivan, M.D.

  • Radiologic Technologist
  • Springfield, MO
  • NPI 1831301639
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1598841140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E BRADFORD PKWY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046563",
            "telephone_number": "417-885-1100",
            "fax_number": "417-885-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E BRADFORD PKWY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046563",
            "telephone_number": "417-885-1100",
            "fax_number": "417-885-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI OF SPRINGFIELD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "BOOTS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "573-315-9109",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714637501",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Moutray
• Tressa Moyle, LCSW
• Moyo Healthcare LLC
• Annette Diane Mozier, FNP-C
• David Francis Mrad, PH.D.
• Msnrc Ops, Inc. (Magnolia Square Nursing and Rehab)
• Jason August Muchow, AT
• Frederick David Muegge, MD
• Lindley Mueller, MS LPC
• Paul A Mueller, PA

• Magnetic Resonance Imaging (MRI) Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.