NPIMap

Organization Active NPI

Pinnacle Pain Management and Rehabilitation LLC

  • Specialist
  • Lancaster, OH
National Provider Identifier
1073636312
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35071099B Issued in OH
Legal business name
PINNACLE PAIN MANAGEMENT AND REHABILITATION LLC
Practice address
422 N Columbus St
Lancaster, OH 43130-3033
Phone
(740) 687-2700
Fax
(740) 687-2701
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Banks, M.D.
Title
Owner
Phone
(740) 687-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35071099B OH Primary

Addresses

Primary practice location

422 N Columbus St
Lancaster, OH 43130-3033

Mailing address

422 N Columbus St
Lancaster, OH 43130-3033
Phone (740) 687-2700

Other identifiers 1

IdentifierTypeStateIssuer
2076739MedicaidOH

National Provider Directory

National Provider Directory

Locations

422 N Columbus St
Lancaster, OH 43130
Phone (740) 422-8484

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073636312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N COLUMBUS ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303033",
            "telephone_number": "740-687-2700",
            "fax_number": "740-687-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N COLUMBUS ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303033",
            "telephone_number": "740-687-2700",
            "fax_number": "740-687-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PAIN MANAGEMENT AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-687-2700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35071099B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2076739",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.