Vantage Open MRI LLC

Primary specialty

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

Legal business name

VANTAGE OPEN MRI LLC

Practice address

3400 W Hefner Rd
Oklahoma City, OK 73120-5083

Phone

(405) 418-0900

Fax

(405) 418-0901

NPI assigned

Jul 2, 2006

Last updated

Apr 20, 2012By 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) 418-0900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK4 enrollments

Enrollment records 4

Member of 1

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

• Foundation Radiology Group PC

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1962485524

  Member Of

  NPD member

Locations

Practitioners 5

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.

• Heather H Cha, M.D.

  • Cardiovascular Disease Physician
  • Tulsa, OK
  • NPI 1952566978
  NPD
• James Keith Cooper, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1306985569
  NPD
• Christopher James Higgins, MD

  • Cardiovascular Disease Physician
  • Tulsa, OK
  • NPI 1417123274
  NPD
• Venkatram Rajaram, M.D.,

  • Cardiovascular Disease Physician
  • Edmond, OK
  • NPI 1154359768
  NPD
• Amir G Abdelmalik, MD

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1093967390
  NPD

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1942239702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205083",
            "telephone_number": "405-418-0900",
            "fax_number": "405-418-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205083",
            "telephone_number": "405-418-0900",
            "fax_number": "405-418-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE OPEN MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2012-04-20",
        "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": "405-418-0900"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thongkham Vannarath, D.C.
• Jerry B Vannatta, MD
• Katie Vannatta, DO
• Katherine Vanness
• Anna Kaylee Vannoy
• Vantage Vision Care PC
• Vantage Vision Care Quail Springs, PC
• Candace Marie Vanwey, PTA
• Lisa G Vanwieren, M.ED., CCC-SLP
• Richard Francis Vanya, PA-C

• Magnetic Resonance Imaging (MRI) Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, 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 Apr 20, 2012; 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.