Opensided MRI of St Louis II

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

OPENSIDED MRI OF ST LOUIS II

Practice address

12101 Olive Blvd
Creve Coeur, MO 63141-6628

Phone

(314) 514-0167

NPI assigned

Apr 27, 2020

Organization subpart

Yes

Parent organization

GREATER MISSOURI IMAGING, LLCAs reported in NPPES

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

Authorized official

Name

Matthew Ruyle, MD

Title

President

Phone

(314) 514-0167

Specialties & licenses 1

Addresses

Other names 2

• Greater Missouri Imaging Doing business as
• Greater Missouri Imaging, LLC Doing business as

Part of

Opensided MRI of St Louis II

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1811518202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66726",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631666726",
            "telephone_number": "314-514-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416628",
            "telephone_number": "314-514-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENSIDED MRI OF ST LOUIS II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER MISSOURI IMAGING, LLC",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "RUYLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-514-0167",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Missouri Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greater Missouri Imaging, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olive Ambulatory Surgery Center, LLC
• Olive Street Pharmacy LLC
• Olive Surgery Center
• Thomas V Olivier, MD
• Onyx Spine and Orthopedic Ambulatory Surgery Center LLC
• Opensided MRI of St Louis, LLC
• Oral and Maxillofacial Surgeons Inc
• Nwamaka Ifeyinwa Orji
• Paul O Orji
• Matthew J Orland, MD

• Diagnostic Radiology Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.