NPIMap

Organization Active NPI

Union Hospital of Cecil County

Doing business as Open MRI and Imaging at Principio

  • Radiology Clinic/Center
  • Perryville, MD
National Provider Identifier
1922246206
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
UNION HOSPITAL OF CECIL COUNTY
Doing business as
Open MRI and Imaging at Principio
Practice address
4863 Pulaski Hwy
Ste 100 Principio Health Center
Perryville, MD 21903
Phone
(410) 398-4679
Fax
(410) 620-3686
NPI assigned
Jan 26, 2009
Last updated
Jan 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Judy Riesen
Title
Corporate Director of Revenue Cycle
Phone
(410) 398-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Diagnostic Radiology Physician 2085R0202X

Addresses

Primary practice location

4863 Pulaski Hwy
Ste 100 Principio Health Center
Perryville, MD 21903

Mailing address

PO Box 190
Elkton, MD 21922-0190
Phone (410) 398-4679

Other names 1

  • Open MRI and Imaging at Principio Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090814000288 MD Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6901719822 Receives reassigned benefits from 1 practitioner
Practice locations: Perryville, MD

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Edgar Folk III MD38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4480 S Cobb Dr SE
Ste 503
Smyrna, GA 30080
Phone (404) 946-1800

123 Singerly Ave
Ste 207
Elkton, MD 21921

137 W High St
Ste 2A
Elkton, MD 21921
Phone (410) 398-2436

137 W High St
Ste 314
Elkton, MD 21921

Practitioners & affiliated clinicians

Practitioners 86

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 86

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1922246206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219220190",
            "telephone_number": "410-398-4679",
            "fax_number": "410-620-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 PULASKI HWY",
            "address_2": "STE 100 PRINCIPIO HEALTH CENTER",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "21903",
            "telephone_number": "410-398-4679",
            "fax_number": "410-620-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL OF CECIL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "RIESEN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "410-398-4000"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI and Imaging at Principio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Open MRI and Imaging at Principio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perryville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.