Fairmont Diagnostic Center and Open MRI

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

MDJ2489 Issued in TX

Legal business name

FAIRMONT DIAGNOSTIC CENTER AND OPEN MRI

Practice address

3692 E Sam Houston Pkwy S
Pasadena, TX 77505-3137

Phone

(281) 487-6736

Fax

(281) 487-3187

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack Lee Baker, M.D.

Title

Owner

Phone

(281) 487-6736

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1811085772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 E SAM HOUSTON PKWY S",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053137",
            "telephone_number": "281-487-6736",
            "fax_number": "281-487-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 E SAM HOUSTON PKWY S",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053137",
            "telephone_number": "281-487-6736",
            "fax_number": "281-487-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT DIAGNOSTIC CENTER AND OPEN MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-487-6736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "MDJ2489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nnachebe Festus Ezechigbo
• Kristen Ezeude, MD
• Robert Leo Fairchild, MD
• Fairmont Childrens PLLC
• Fairmont Diagnostic and MRI Center LLC
• Fairmont Endoscopy Center
• Fairmont Infusion Center, PLLC
• Fairmont Medical Clinic , PA
• Fairmont Pediatrics and Associates
• Fairmont Pkwy Emergency Center, LLC

• Radiology Clinic/Center in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Radiology Clinic/Center in Texas

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