Tuscarawas Open MRI LP

Primary specialty

SpecialistTaxonomy code 174400000X

License

10961C Issued in OH

Legal business name

TUSCARAWAS OPEN MRI LP

Practice address

340 Oxford Street
Suite 30
Dover, OH 44622

Phone

(330) 364-9966

Fax

(330) 364-5134

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Trott Theodosopoulos

Title

Administrator

Phone

(330) 365-2101

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Union Hospital Association

  dba Union Hospital Professional Pharmacy

  • Community/Retail Pharmacy
  • Dover, OH
  • NPI 1023316700

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1740232891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 OXFORD STREET",
            "address_2": "SUITE 30",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "44622",
            "telephone_number": "330-364-9966",
            "fax_number": "330-364-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 OXFORD STREET",
            "address_2": "SUITE 30",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "44622",
            "telephone_number": "330-364-9966",
            "fax_number": "330-364-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCARAWAS OPEN MRI LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "TROTT THEODOSOPOULOS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-365-2101"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "10961C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2555417",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tuscarawas County (Tuscarawas County Dental)
• Tuscarawas County Auditor (Tuscarwas County General Health District Dental Program)
• Tuscarawas County Auditor (Alcohol and Addiction Program)
• Tuscarawas County Auditor
• Tuscarawas County OB-GYN Inc.
• Tuscarawas Valley Physical Therapy
• Tuscarawas Valley Regional Cancer Center (Regional Cancer Center of Union)
• Tuscarawas Valley Urology, LTD
• Tuscarawas Valley Urology, LTD
• Beverly Ann Tweedy, MSIT MAED MSAC CDCA

• Specialist in Dover, OH
• Providers in Dover, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.