NPIMap

Organization Active NPI

Open MRI of Washington Parish LLC

  • Diagnostic Radiology Physician
  • Bogalusa, LA
National Provider Identifier
1902805682
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
OPEN MRI OF WASHINGTON PARISH LLC
Practice address
2781 S Columbia Rd
Suite B
Bogalusa, LA 70427-7961
Phone
(985) 732-4979
Fax
(985) 732-4974
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
James W. Holmes
Title
Chief Operating Officer
Phone
(337) 291-9161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2781 S Columbia Rd
Suite B
Bogalusa, LA 70427-7961

Mailing address

2781 S Columbia Rd
Suite B
Bogalusa, LA 70427-7961
Phone (985) 732-4979

Other identifiers 2

IdentifierTypeStateIssuer
1445100MedicaidLA
02056349MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1902805682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 S COLUMBIA RD",
            "address_2": "SUITE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704277961",
            "telephone_number": "985-732-4979",
            "fax_number": "985-732-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 S COLUMBIA RD",
            "address_2": "SUITE B",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704277961",
            "telephone_number": "985-732-4979",
            "fax_number": "985-732-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF WASHINGTON PARISH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "337-291-9161"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445100",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02056349",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.