Open MRI of Scottsboro, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

OPEN MRI OF SCOTTSBORO, LLC

Practice address

305 Parks Ave
Scottsboro, AL 35768-2411

Phone

(256) 574-6674

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

Dr. John Landon Reichle, MDNPI 1710947684

Title

MD

Phone

(256) 574-6674

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 6

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

• John Landon Reichle, MD

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1710947684
  Medicare reassignment NPD Authorized official
• Jeffrey Kyle Cooper, MD

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1386164671
  Medicare reassignment NPD
• Christopher Jason Green, MD

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1053526988
  Medicare reassignment NPD
• Chase Matthew Mitchell, M.D.

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1699162818
  Medicare reassignment NPD
• Devin Vance Waldrop, MD

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1689794620
  Medicare reassignment NPD
• Robert Lee Suber Jr., M.D.

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1588839575
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1740233303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242848",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242848",
            "telephone_number": "334-270-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PARKS AVE",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682411",
            "telephone_number": "256-574-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF SCOTTSBORO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "REICHLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LANDON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "256-574-6674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051557668",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Alabama Health Services, Inc.
• Northern Alabama Homecare, LLC
• Northland Hearing Centers, Inc.
• Northland Hearing Centers, Inc.
• Amanda Oconnor, B.S.
• Parks Avenue Drugs
• Charis W Peek, NP
• Gina Marie Herrera Pendleton, PT, DPT
• Olivia Elliott Peters, MD
• Coty Phillips Johnson, CRNP

• Diagnostic Radiology Physician in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.