PINNACLE PHYSICIANS GROUP, LLC (NPI# 1750708376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750708376 |
| Entity Type | Organization |
| Organization Name | PINNACLE PHYSICIANS GROUP, LLC |
| Other Organization Name | MNAP DIAGNOSTIC IMAGING |
| Practice Address |
9908 Roosevelt Blvd Philadelphia PA 19115-1705 |
| Practice Telephone | 2154643300 |
| Mailing Telephone | 2154643300 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-05-29 |
| Authorized Official Name | CAROLE MEDOFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2154351709 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUECROSS | PENDING | 01 |
| PA | 1027993620001 | 05 | |
| PA | MEDICARE GROUP PTAN | 248882 | 01 |
| PA | HIGHMARK BLUECROSS | 3045969 | 01 |
| Other Name | Type Code |
|---|---|
| MNAP Diagnostic Imaging | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003233719 | Pinnacle Physicians Group, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-03-20 |
| 1689098410 | Pinnacle Physicians Group, LLC | Anesthesiology | 3110 Grant Ave, Philadelphia, PA 19114-2542 | 2014-02-14 |
| 1306260138 | Pinnacle Physicians Group, LLC | Internal Medicine | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-02-14 |
| 1215351044 | Pinnacle Physicians Group, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-02-14 |
| 1609117795 | Pinnacle Physicians Group, LLC | Custodial Care Facility | 2938 Knights Rd, Bensalem, PA 19020-3529 | 2013-03-14 |
| 1194066308 | Pinnacle Physicians Group, LLC | Internal Medicine | 3998 Red Lion Rd, Suite 306, Philadelphia, PA 19114-1445 | 2013-03-13 |
| 1407194764 | Pinnacle Physicians Group, LLC | Otolaryngology | 1338 Bristol Pike, Suite 201, Bensalem, PA 19020-5679 | 2013-01-22 |
| Street Address |
9908 ROOSEVELT BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470381 | Mnap Medical Solutions, Inc. | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2005-07-08 |
| 1205322146 | Independent Physicians Medical Center, LLC | Psychiatry & Neurology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2018-07-03 |
| 1154817278 | Independent Physicians Medical Center, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2018-07-02 |
| 1730535543 | Mnap Diagnostic Imaging, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2016-05-11 |
| 1003233719 | Pinnacle Physicians Group, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-03-20 |
| 1306260138 | Pinnacle Physicians Group, LLC | Internal Medicine | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-02-14 |
| 1215351044 | Pinnacle Physicians Group, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-02-14 |
| 1760796353 | Mnap Diagnostic Imaging LLC | Podiatrist | 9908 Roosevelt Blvd, Philadelphia, PA 19115 | 2010-08-06 |
| 1710205745 | Mnap Multipsecialty Group | Sleep Specialist, PhD | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2010-05-14 |
| 1588826614 | Mnap Medical Solutions | Sleep Specialist, PhD | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2008-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
| 1982102133 | Sonia Anand-nichols Md PC | Psychiatry & Neurology | 5735 Ridge Ave Ste 101, Philadelphia, PA 19128-1746 | 2018-01-23 |
| 1205357886 | Kenneth Gross | Psychiatry & Neurology | 777 S Broad St Apt 412, Philadelphia, PA 19147-2509 | 2017-07-04 |
| 1417339409 | Leonel Jorge Favio Estofan | Psychiatry & Neurology | 245 N 15th St, 7th Floor, Philadelphia, PA 19102-1200 | 2015-06-25 |
| 1073900700 | Pavan Anil Vaswani | Psychiatry & Neurology | 330 S 9th St Fl 3, Philadelphia, PA 19107-6103 | 2015-04-21 |
| 1942613369 | Mia Chwan Ko | Psychiatry & Neurology | 5401 Old York Rd Ste 404, Philadelphia, PA 19141-3046 | 2014-06-03 |
| 1912340415 | Simy Kabaria Parikh | Psychiatry & Neurology | 900 Walnut St Ste 200, Philadelphia, PA 19107-5191 | 2013-04-15 |
| 1215295118 | Curtis Brandon Allumbaugh | Psychiatry & Neurology | 833 Chestnut St Ste 220, Philadelphia, PA 19107 | 2012-04-27 |
| 1013201870 | Enrique Aradillas Lopez | Psychiatry & Neurology | 1200 Constitution Ave Ste 110, Philadelphia, PA 19112-1323 | 2011-06-08 |
| 1598076358 | Hristelina S. Ilieva | Psychiatry & Neurology | 909 Walnut Street 2nd Floor, Philadelphia, PA 19107-3342 | 2010-06-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on PINNACLE PHYSICIANS GROUP, LLC.
| 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.