PINNACLE RADIOLOGY LLC (NPI# 1205006343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205006343 |
Entity Type | Organization |
Organization Name | PINNACLE RADIOLOGY LLC |
Practice Address |
490 N Washington Ave Titusville FL 32796-2871 |
Mailing Address |
Po Box 881839 Port St Lucie FL 34988-1839 |
Practice Telephone | 3212684200 |
Mailing Telephone | 7278963134 |
Mailing Fax Number | 7706669330 |
Enumeration Date | 2008-03-05 |
Last Update Date | 2011-02-23 |
Authorized Official Name | KENNETH S HAZLETT (MANAGING MEMBER) |
Authorized Official Telephone | 3217999172 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE PTAN | AM098 | 01 |
Street Address |
490 N WASHINGTON AVE |
City | TITUSVILLE |
State | FL |
Zip Code | 32796-2871 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700858206 | Victoria A Hill | Physician Assistant | 490 N Washington Ave, Titusville, FL 32796-2871 | 2006-02-07 |
1891000253 | Jacqueline A Luker | Nurse Practitioner | 490 N Washington Ave, Titusville, FL 32796-2871 | 2010-08-10 |
1497928394 | Brendan Michael Prendergast | Radiology | 490 N Washington Ave, Titusville, FL 32796 | 2008-04-11 |
1235313578 | Anita Frost-lindenblad | Clinical Nurse Specialist | 490 N Washington Ave, Titusville, FL 32796-2871 | 2007-12-21 |
1043244148 | Cynthia J Bryant | Radiology | 490 N Washington Ave, Titusville, FL 32796-2871 | 2006-07-11 |
1558329581 | Space Coast Medical Associates LLP | Internal Medicine | 490 N Washington Ave, Titusville, FL 32796-2871 | 2006-05-01 |
1285690461 | Delori M Dulany | Nurse Practitioner | 490 N Washington Ave, Titusville, FL 32796-2871 | 2006-04-25 |
1619938123 | Richard M Levine | Internal Medicine | 490 N Washington Ave, Titusville, FL 32796-2871 | 2006-04-01 |
1801857966 | Ashish Dalal | Internal Medicine | 490 N Washington Ave, Titusville, FL 32796-2871 | 2006-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
1134403108 | Titusville Chiropractic & Injury Center, Inc. | Chiropractor | 850 Century Medical Drive, Titusville, FL 32796 | 2011-10-07 |
1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
Find all providers in zip 32796 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679566756 | Morgan Medical Corp | Radiology | 1905 Jess Parrish Ct, Titusville, FL 32796-2146 | 2005-08-24 |
1366992315 | Titusville Area Hospital | Radiology | 406 W Oak St, Titusville, PA 16354-1404 | 2016-10-13 |
1831436591 | Bryan Lucas Peterson | Radiology | 951 N Washington Ave, Titusville, FL 32796-2163 | 2013-01-14 |
1962552604 | Scott A Drummond Jr. | Radiology | 951 N Washington Ave, Radiology Dept, Titusville, FL 32796-2163 | 2007-01-12 |
1083657951 | Kirit A Patel | Radiology | 951 N Washington Ave, Titusville, FL 32796-2163 | 2006-06-14 |
1609816974 | C & E Radiologists PC | Radiology | 406 W Oak Street, Titusville, PA 16354 | 2006-06-07 |
1205886637 | Robert L. Anderson | Radiology | 951 N Washington Ave, Titusville, FL 32796-2163 | 2006-05-10 |
1942259684 | Joseph D. Flynn | Radiology | 951 N Washington Ave, Titusville, FL 32796-2163 | 2006-05-09 |
1629027370 | Richard G. Mayer | Radiology | 951 N Washington Ave, Titusville, FL 32796-2163 | 2006-05-09 |
1396794566 | Space Coast Radiology Associates | Radiology | 951 N Washington Ave, Titusville, FL 32796-2163 | 2006-05-08 |
Find all providers in TITUSVILLE |
City | TITUSVILLE |
Zip Code | 32796 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.