Open MRI of Frederick LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

M219 Issued in MD

Legal business name

OPEN MRI OF FREDERICK LLC

Practice address

1560 Opossumtown Pike
Frederick, MD 21702-4748

Phone

(240) 379-6177

Fax

(240) 379-6190

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jace D Keller

Title

Treasurer

Phone

(724) 925-2280

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780655209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "NEW STANTON",
            "state": "PA",
            "postal_code": "156720450",
            "telephone_number": "724-925-2330",
            "fax_number": "724-925-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 OPOSSUMTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024748",
            "telephone_number": "240-379-6177",
            "fax_number": "240-379-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF FREDERICK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JACE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "724-925-2280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MD",
            "license": "M219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6803016-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Faith Ondrejko, CRNP
• Jennifer Ononiba, PMHNP
• Onward Frederick LLC
• Lydia Onyima, DNP
• Opal Ridgedental LLC
• Joshua Steven Oppenheimer, M.D.
• Optimal Anesthesia LLC
• Optimum Behavioral Health
• Optimum Physical Therapy and Wellness, LLC
• Kayla Orcutt

• Magnetic Resonance Imaging (MRI) Clinic/Center in Frederick, MD
• Providers in Frederick, MD by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.