Ada MRI Associates, L.L.C.

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

ADA MRI ASSOCIATES, L.L.C.

Doing business as

Ada Open MRI

Practice address

435 N Monte Vista St
Suite B
Ada, OK 74820-4609

Phone

(580) 332-0400

Fax

(580) 332-4269

NPI assigned

Jun 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randy Wayne Wickersham

Title

VP of Operations

Phone

(405) 418-2200

Specialties & licenses 1

Addresses

Other names 1

• Ada Open MRI Doing business as

Locations

Practitioners 1

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.

• Alfred C Degner, MD

  • Diagnostic Radiology Physician
  • Midwest City, OK
  • NPI 1891755294
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922044841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N MONTE VISTA ST",
            "address_2": "SUITE B",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204609",
            "telephone_number": "580-332-0400",
            "fax_number": "580-332-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N MONTE VISTA ST",
            "address_2": "SUITE B",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204609",
            "telephone_number": "580-332-0400",
            "fax_number": "580-332-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA MRI ASSOCIATES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICKERSHAM",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "405-418-2200"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ada Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ada Gynecology & Obstetrics
• Ada Health First Inc
• Ada Medical Group PLLC
• Ada Medical Inc (Ada Physical Therapy)
• Ada Men's Clinic LLC (Ada Family Wellness Clinic)
• Ada Orthopedics & Sports Medicine, PC
• Ada Outpatient Clinic, Inc.
• Ada Pediatric Clinic
• Ada Residential Care Inc.
• Ada Senior Care Center

• Magnetic Resonance Imaging (MRI) Clinic/Center in Ada, OK
• Providers in Ada, OK by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.