Oregon Advanced Imaging, LLC

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

067493-94 Issued in OR

Legal business name

OREGON ADVANCED IMAGING, LLC

Practice address

870 S Front St
Central Point, OR 97502-2779

Phone

(541) 732-8229

Fax

(541) 773-7009

NPI assigned

Dec 3, 2012

Last updated

Dec 3, 2012By 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

Mrs. Lynette Kay Gundlach

Title

Comptroller

Phone

(541) 622-6322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Oregon Advanced Imaging, LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Medford, OR
  • NPI 1134416464

  O20111011000777

  Same enrollment
• Oregon Advanced Imaging, LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Medford, OR
  • NPI 1306133632

  O20111011000777

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Kristina E Darlington-Hansen, D.O.

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1225047889
  NPD
• Zachary Rice Heeter, M.D.

  • Vascular & Interventional Radiology Physician
  • Medford, OR
  • NPI 1952543373
  NPD
• John Nathan Simmons, M.D.

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1124052618
  NPD
• Michael James Brydone-Jack, M.D.

  • Diagnostic Radiology Physician
  • Orange, CA
  • NPI 1457767154
  NPD
• Carrie Lynn Carlin, MD

  • Diagnostic Radiology Physician
  • Mount Shasta, CA
  • NPI 1518948314
  NPD
• Joe A Pastrano, MD

  • Diagnostic Radiology Physician
  • Oakland, CA
  • NPI 1619946563
  NPD
• Brett Madison Young, M.D.

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
  • NPI 1255505368
  NPD

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1689919573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 OHARE PKWY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044005",
            "telephone_number": "541-622-6322",
            "fax_number": "541-773-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 S FRONT ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022779",
            "telephone_number": "541-732-8229",
            "fax_number": "541-773-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON ADVANCED IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "GUNDLACH",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "541-622-6322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "OR",
            "license": "067493-94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil M Olsen, MD
• Amanda Olson, PT, DPT
• Melissa Jean Olson, THW
• Open Door Dental Group PC
• Amy N Oppen, PA-C
• Oregon Behavioral Health Group LLC
• James Orr
• Rosalina Ortega
• Orthopedic Massage Associates Inc.
• Carey Osborne

• Magnetic Resonance Imaging Radiologic Technologist in Central Point, OR
• Providers in Central Point, OR by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.