Organization Active NPI

Midwest Open MRI, LLC

  • Clinic/Center
  • Middleton, WI
National Provider Identifier
1790796936
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MIDWEST OPEN MRI, LLC
Practice address
8309 Greenway Boulevard, Suite 100
Middleton, WI 53562
Phone
(608) 836-7220
Fax
(608) 836-7229
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Connie J. Kottwitz
Title
Office Manager
Phone
(608) 836-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8309 Greenway Boulevard, Suite 100
Middleton, WI 53562

Mailing address

8309 Greenway Boulevard, Suite 100
Middleton, WI 53562
Phone (608) 836-7220

Other identifiers 1

IdentifierTypeStateIssuer
32877200MedicaidWI

National Provider Directory

National Provider Directory

Locations

2101 Zeier Rd
Madison, WI 53704
Phone (608) 663-6674

8309 Greenway Blvd
Ste 100
Middleton, WI 53562
Phone (608) 836-7220

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1790796936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 GREENWAY BOULEVARD, SUITE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "53562",
            "telephone_number": "608-836-7220",
            "fax_number": "608-836-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 GREENWAY BOULEVARD, SUITE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "53562",
            "telephone_number": "608-836-7220",
            "fax_number": "608-836-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "KOTTWITZ",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "608-836-7220"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32877200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.