PINNACLE DIALYSIS INC (NPI# 1639162829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639162829 |
Entity Type | Organization |
Organization Name | PINNACLE DIALYSIS INC |
Other Organization Name | DIALYSIS OF BOCA DELRAY |
Practice Address |
2900 N Military Trl #195 Boca Raton FL 33431-6365 |
Practice Telephone | 5612416667 |
Practice Fax Number | 5619898550 |
Mailing Telephone | 5612416667 |
Mailing Fax Number | 5619898550 |
Enumeration Date | 2005-08-24 |
Last Update Date | 2008-02-19 |
Authorized Official Name | CRAIG L STEMMER (CEO) |
Authorized Official Telephone | 5612416667 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS | V4M | 01 |
FL | 890064700 | 05 |
Other Name | Type Code |
---|---|
Dialysis of Boca Delray | Former Legal Business Name - Organization |
Street Address |
2900 N MILITARY TRL #195 |
City | BOCA RATON |
State | FL |
Zip Code | 33431-6365 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578556759 | Boca Nephrology Pa | Internal Medicine | 2900 N Military Trl, Ste 195, Boca Raton, FL 33431-6365 | 2005-08-24 |
1932687506 | William Tyson Young | Physical Therapist | 2900 N Military Trl, Boca Raton, FL 33431-6365 | 2018-08-05 |
1245770130 | Caitlyn Deming | Nurse Practitioner | 2900 N Military Trl, Suite 245, Boca Raton, FL 33431-6365 | 2017-02-27 |
1295274900 | Fox Physical Therapy Inc | Physical Therapist | 2900 N Military Trl, Suite 220, Boca Raton, FL 33431-6365 | 2017-02-14 |
1437602455 | Amy Steffey | Technician | 2900 N Military Trl, Suite243, Boca Raton, FL 33431-6365 | 2016-07-26 |
1457742371 | Metcare of Boca Raton | Family Medicine | 2900 N Military Trl, Suite 201, Boca Raton, FL 33431-6365 | 2015-02-13 |
1417356197 | Robert Joseph Signorello | Physical Therapist | 2900 N Military Trl, Suite 220, Boca Raton, FL 33431-6365 | 2014-08-19 |
1417365701 | Alex Wasserman | Chiropractor | 2900 N Military Trl, Suite #220, Boca Raton, FL 33431-6365 | 2014-07-30 |
1871919142 | Lynn R. Lampert Ph.d LLC | Psychologist | 2900 N Military Trl, St. 165, Boca Raton, FL 33431-6365 | 2014-03-11 |
1821425661 | Interventional Rehabilitation of South Florida, Inc | Anesthesiology | 2900 N Military Trl, Suite 230, Boca Raton, FL 33431-6365 | 2013-10-10 |
Find all providers in the same location |
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1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
Find all providers in zip 33431 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659917508 | R&r Health Group LLC | Clinic/Center | 9060 Kimberly Blvd Ste 32-35, Boca Raton, FL 33434-2842 | 2019-11-25 |
1578048229 | Boca Raton Medical Care LLC | Clinic/Center | 500 Ne Spanish River Blvd # 32c, Boca Raton, FL 33431-4515 | 2018-09-28 |
1891178034 | Imperial Medical Care LLC | Clinic/Center | 1717 Costa Del Sol, Boca Raton, FL 33432-1746 | 2015-07-07 |
1871748087 | Total Renal Care Inc | Clinic/Center | 2900 N Military Trl Ste 195, Boca Raton, FL 33431-6308 | 2008-12-02 |
1518079375 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 19801 Hampton Dr, Boca Raton, FL 33434-2840 | 2006-08-31 |
1619944204 | Total Renal Care Inc | Clinic/Center | 998 Nw 9th Ct, Boca Raton, FL 33486-2214 | 2006-03-02 |
1588065510 | Dialyze Direct Fl LLC | Clinic/Center | 1601 Clint Moore Rd, Suite 160, Boca Raton, FL 33487-2768 | 2014-09-09 |
1669747655 | Sands Dialysis LLC | Clinic/Center | 998 Nw 9th Ct, Boca Raton, FL 33486-2214 | 2012-03-09 |
1750660247 | Crown Dialysis Center of Palm Beach LLC | Clinic/Center | 4701 N Federal Hwy, Boca Raton, FL 33431-5135 | 2011-08-15 |
1114959186 | Ara-south Boca Raton Dialysis LLC | Clinic/Center | 7300 Del Prado Cir S, Boca Raton, FL 33433-3386 | 2006-07-07 |
Find all providers in BOCA RATON |
City | BOCA RATON |
Zip Code | 33431 |
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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.