NPIMap

Organization Active NPI

Opensided MRI of Louisville, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Jeffersonville, IN
National Provider Identifier
1609811769
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
OPENSIDED MRI OF LOUISVILLE, LLC
Practice address
2027 Jeffersonville Commons Dr
Jeffersonville, IN 47130
Phone
(812) 282-0167
Fax
(812) 282-3974
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Mr. John S Platusic
Title
Coo
Phone
(219) 365-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

2027 Jeffersonville Commons Dr
Jeffersonville, IN 47130

Mailing address

2027 Jeffersonville Commons Dr
Jeffersonville, IN 47130
Phone (812) 282-0167

Other practice location 1

120 W Court Ave
Jeffersonville, IN 47130
Phone (812) 282-0167

Other identifiers 3

IdentifierTypeStateIssuer
300024939MedicaidIN
247700OtherINMEDICARE RAILROAD
100346500MedicaidIN

National Provider Directory

National Provider Directory

Locations

120 W Court Ave
Jeffersonvlle, IN 47130
Phone (812) 282-0167

2027 Jeffersonville Commons Dr
Jeffersonvlle, IN 47130
Phone (513) 281-3400

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1609811769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 JEFFERSONVILLE COMMONS DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-282-0167",
            "fax_number": "812-282-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 JEFFERSONVILLE COMMONS DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-282-0167",
            "fax_number": "812-282-3974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W Court Ave",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "47130",
            "country_code": "US",
            "telephone_number": "812-282-0167",
            "fax_number": "812-282-3974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPENSIDED MRI OF LOUISVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "PLATUSIC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "219-365-2220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300024939",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "247700",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100346500",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.