PINNACLE RADIOLOGY LLC


Address: 490 N Washington Ave, Titusville, FL 32796-2871
Phone: 3212684200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE PTAN AM098 01

Office Location

Street Address 490 N WASHINGTON AVE
City TITUSVILLE
State FL
Zip Code 32796-2871

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City TITUSVILLE
Zip Code 32796

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Dataset Information

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.

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