Open MRI of Pueblo, LLC

Primary specialty

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

Legal business name

OPEN MRI OF PUEBLO, LLC

Practice address

1425 B US Highway 50 West
Pueblo, CO 81008-1686

Phone

(719) 404-0991

Fax

(719) 404-0997

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Christenberry III

Title

Manager

Phone

(813) 284-2004

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael P O'Neill, M.D.

  • Diagnostic Radiology Physician
  • Leesburg, FL
  • NPI 1073504650
  NPD
• Roger W Davis, MD

  • Orthopaedic Surgery Physician
  • Pueblo, CO
  • NPI 1124058094
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1922190487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 B US HIGHWAY 50 WEST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081686",
            "telephone_number": "719-404-0991",
            "fax_number": "719-404-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 B US HIGHWAY 50 WEST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081686",
            "telephone_number": "719-404-0991",
            "fax_number": "719-404-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI OF PUEBLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "CHRISTENBERRY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-284-2004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00116808",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81684339",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OP668242",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Open Gate Counseling Service, LLC
• Open Gate Counseling Service, LLC
• Open Gate Counseling Service, LLC
• Open Gate Counseling Service, LLC
• Open Gate Counseling Service, LLC
• Oral Surgery Specialists of Pueblo, PLLC (Oral Surgery Specialists of Pueblo)
• Orange Skye Spa
• Anthony G Oreskovich, DDS
• Kellyn Orick
• Ronda Orndoff, NP

• Magnetic Resonance Imaging (MRI) Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.