PINNACLE MEDICAL CLINIC, P.A. (NPI# 1891843967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891843967 |
| Entity Type | Organization |
| Organization Name | PINNACLE MEDICAL CLINIC, P.A. |
| Other Organization Name | PINNACLE MEDICAL CLINIC,P.A. |
| Practice Address |
2401 Tuckaseegee Rd Charlotte NC 28208-4058 |
| Mailing Address |
2401 Tuckaseegee Rd Charlotte NC 28208 |
| Practice Telephone | 7044093000 |
| Practice Fax Number | 7044092382 |
| Mailing Telephone | 7044093000 |
| Mailing Fax Number | 7044092382 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JULIUS TOKUNBOH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7044093000 |
| Authorized Official Credential | M.D, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9800405 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89016R2 | 05 |
| Other Name | Type Code |
|---|---|
| Pinnacle Medical Clinic,P.A. | Former Legal Business Name - Organization |
| Street Address |
2401 TUCKASEEGEE RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841256567 | Grace Medical Clinics, Pa | Clinic/Center | 2401 Tuckaseegee Rd, Charlotte, NC 28208-4058 | 2006-04-21 |
| 1508254723 | Erika Mccachern | Nurse Practitioner | 2401 Tuckaseegee Rd, Charlotte, NC 28208-4058 | 2014-12-23 |
| 1447307384 | Grace Pediatric Clinic, P.a. | Pediatrics | 2401 Tuckaseegee Rd, Charlotte, NC 28208-4058 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1750929659 | Tru Pearl Solution Services Pllc | Community/Behavioral Health | 2128 Remount Road Suite B, Charlotte, NC 28208 | 2019-12-11 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1912567041 | Nolan Scott Blake | In Home Supportive Care | 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 | 2019-06-20 |
| 1699244145 | Catalyst Chiropractic, Pllc | Chiropractor | 2620 Tuckaseegee Rd., Charlotte, NC 28208 | 2018-11-14 |
| 1255854691 | Jessica Lynne Hunter | Social Worker | 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 | 2017-07-18 |
| 1700311420 | Matthew Christian Mundorf | Chiropractor | 2620 Tuckaseegee Rd, Charlotte, NC 28208 | 2017-05-01 |
| 1700235439 | Erin Merchant | Counselor | 2016 Millerton Avenue, #2213, Charlotte, NC 28208 | 2016-06-03 |
| 1528432564 | Monika Sheree Moore | Counselor | 3205 Freedom Dr, Charlotte, NC 28208 | 2015-11-13 |
| 1205224540 | Phadality Home Care | Home Health | 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 | 2015-01-08 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| 1538700745 | Geriatric Care of The Carolinas, Pllc | Internal Medicine | 6001 Graburns Ford Dr, Charlotte, NC 28269-7120 | 2019-09-30 |
| 1477100683 | Carolinas Physicians Network Inc | Internal Medicine | 9325 Jw Clay Blvd, Ste 221, Charlotte, NC 28262-5411 | 2019-08-22 |
| 1972169977 | Iora Health North Carolina, P.C. | Internal Medicine | 8332 Pineville Matthews Rd Ste 205, Charlotte, NC 28226-3765 | 2019-05-15 |
| 1700345105 | Carolinas Physicians Network Inc | Internal Medicine | 2109 Randolph Rd, Charlotte, NC 28207-1521 | 2019-03-15 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1083137616 | Sc Med LLC | Internal Medicine | 10436 Winslet Dr, Charlotte, NC 28277-2956 | 2017-07-25 |
| Find all providers in CHARLOTTE | ||||
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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.