Pinnacle Health Group PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PINNACLE HEALTH GROUP PA

Practice address

1601 W Reynolds St Ste 201
Plant City, FL 33563-4747

Phone

(813) 874-5500

Fax

(813) 874-5505

NPI assigned

Mar 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Diasti, MDNPI 1730175944

Title

President / Medical Director

Phone

(813) 874-5500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pinnacle Health Group Plant City Other name

Electronic endpoints 1

Tax ID family

Pinnacle Health Group PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pinnacle Health Group P.a.

  • Internal Medicine Physician
  • Wesley Chapel, FL
  • NPI 1720738669
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sam Diasti, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1730175944
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1073262168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18344",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336798344",
            "telephone_number": "813-874-5500",
            "fax_number": "813-874-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W REYNOLDS ST STE 201",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634747",
            "telephone_number": "813-874-5500",
            "fax_number": "813-874-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "DIASTI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-874-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27330300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME71925",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TAMPA",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "PINNACLE HEALTH GROUP P.A.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1601 W Reynolds St Ste 201",
            "city": "Plant City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335634747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pinnacle Health Group Plant City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phillips, Salomon & Parrish, PA
• Physiotherapy Associates Inc
• Jennifer Piasecki
• Carmen Rymer Piccolo, LCSW
• Joy Angel Pierce
• Plant City Allergy, P.a.
• Plant City Cardiology Associates LLC
• Plant City Internal Medicine Specialists, P.a.
• Plant City Medical Group, LLC
• Plant City Pediatrics, PA

• Internal Medicine Physician in Plant City, FL
• Providers in Plant City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.