NPIMap

Organization Active NPI

Open MRI of Steubenville, LTD

  • Specialist
  • Steubenville, OH
National Provider Identifier
1861445462
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0549IC Issued in OH
Legal business name
OPEN MRI OF STEUBENVILLE, LTD
Practice address
2315 Sunset Blvd
Suite D
Steubenville, OH 43952-2496
Phone
(740) 266-7674
Fax
(740) 266-7673
NPI assigned
May 18, 2006
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Sharon L Kinemond
Title
Owner
Phone
(740) 266-4908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0549IC OH Primary

Addresses

Primary practice location

2315 Sunset Blvd
Suite D
Steubenville, OH 43952-2496

Mailing address

2315 Sunset Blvd
Suite D
Steubenville, OH 43952-2496
Phone (740) 266-7674

Other identifiers 1

IdentifierTypeStateIssuer
2409110MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080522000482 OH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3375612989 Practice locations: Steubenville, OH

National Provider Directory

National Provider Directory

Locations

2315 Sunset Blvd
Ste D
Steubenville, OH 43952

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1861445462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 SUNSET BLVD",
            "address_2": "SUITE D",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522496",
            "telephone_number": "740-266-7674",
            "fax_number": "740-266-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 SUNSET BLVD",
            "address_2": "SUITE D",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522496",
            "telephone_number": "740-266-7674",
            "fax_number": "740-266-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF STEUBENVILLE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "KINEMOND",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-266-4908"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "0549IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2409110",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.