Open MRI of Douglas LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

OPEN MRI OF DOUGLAS LLC

Practice address

1315 Ocilla Rd
Douglas, GA 31533-2213

Phone

(912) 393-1144

Fax

(912) 393-1124

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Crystal Valene Fields, RT(MR)

Title

Managing Owner

Phone

(912) 393-1144

Specialties & licenses 1

Addresses

Practitioners 1

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

• David Theodore Estle Jr., M.D.

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1235138777
  NPD (past)

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1689372179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332213",
            "telephone_number": "912-393-1144",
            "fax_number": "912-393-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332213",
            "telephone_number": "912-393-1144",
            "fax_number": "912-393-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF DOUGLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "VALENE",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "912-393-1144",
        "authorized_official_credential": "RT(MR)"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Reid Nugent
• Mallory Lynn O'Brien, FNP-C
• Stuart Jackson O'Steen, CRNA
• Elizabeth Olguin, MED CCC-SLP
• Open MRI of Douglas LLC
• Orthopedic Surgeons of Georgia LLC
• Orthopedic Surgeons of Georgia, LLC
• Orthopedic Surgeons of Georgia, LLC
• Arden Osborne, M.ED CCC-SLP
• Melissa Ott, NP-C

• Radiology Clinic/Center in Douglas, GA
• Providers in Douglas, GA by specialty
• Radiology Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.