PINNACLE REGIONAL HOSPITAL, LLC (NPI# 1780160366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780160366 |
| Entity Type | Organization |
| Organization Name | PINNACLE REGIONAL HOSPITAL, LLC |
| Practice Address |
17651 B Hwy Boonville MO 65233-2839 |
| Mailing Address |
4770 N Belleview Ave Ste 205 Kansas City MO 64116-2119 |
| Practice Telephone | 6608827461 |
| Practice Fax Number | 6608826093 |
| Mailing Telephone | 8168098365 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | JENNIFER SKANES (CREDENTIALING CONTACT) |
| Authorized Official Telephone | 6608827461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 248-47 | MO | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
248-47 | MO | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 248-47 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Street Address |
17651 B HWY |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1003247537 | Meramec Emergency Physicians, LLP | Hospitalist | 17651 B Hwy, Boonville, MO 65233-2839 | 2013-12-10 |
| 1447562871 | Danielle Christine Woodson | Occupational Therapist | 17651 B Hwy, Boonville, MO 65233-2839 | 2010-07-14 |
| 1487807657 | Cooper County Memorial Hospital | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233-2839 | 2008-10-31 |
| 1285838037 | Nancy Marie Aldrich | Dietitian, Registered | 17651 B Hwy, Boonville, MO 65233-2839 | 2007-06-14 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| 1306066162 | Cooper County Memorial Hospital | Skilled Nursing Facility | 17651 B Hwy, Boonville, MO 65233-2839 | 2007-04-26 |
| 1487726121 | Nancy Meyer | Nurse Practitioner | 17651 B Hwy, Boonville, MO 65233-2839 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1154454551 | Pinnacle Regional Hospital,llc | Clinic/Center | 17601 B Hwy, Boonville, MO 65233 | 2007-03-14 |
| 1750421418 | Robin Bernice Rooney | Marriage & Family Therapist | 301 Main St, Boonville, MO 65233 | 2007-02-08 |
| Find all providers in zip 65233 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235461658 | Angela Christine Martinez | Emergency Medicine | 17561 Highway B, Boonville, MO 65340 | 2010-02-10 |
| 1275585556 | Gregory M. Fletcher | Emergency Medicine | 899 Aigner Dr, Boonville, IN 47601-8473 | 2006-05-16 |
| 1992707103 | Josel V Mijares | Emergency Medicine | 1116 Millis Ave, Boonville, IN 47601-2226 | 2005-06-01 |
| 1518078922 | Rick Yeager | Emergency Medicine | 1116 Millis Ave, Boonville, IN 47601-2242 | 2006-08-31 |
| 1831200237 | David Vaughn | Emergency Medicine | 1116 Millis Ave, Boonville, IN 47601-2242 | 2006-08-31 |
| 1447298971 | Christie M Reagan | Emergency Medicine | 1116 Millis Ave, Suite 201a, Boonville, IN 47601-2204 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1205219045 | Maria Christina Creel-bulos | Emergency Medicine | 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 | 2015-06-29 |
| 1669853230 | Megan Litzau | Emergency Medicine | 615 S New Ballas Road, St Louis, MO 63141 | 2015-06-09 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
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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.