Organization Active NPI

Pinnacle Health System

  • Orthopaedic Surgery Physician
  • Harrisburg, PA
National Provider Identifier
1174906267
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OT016635 Issued in PA
Legal business name
PINNACLE HEALTH SYSTEM
Practice address
409 S 2ND St
4D
Harrisburg, PA 17104-1612
Phone
(717) 657-7525
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Stephanie States
Title
Surgical Coordinator
Phone
(717) 657-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X OT016635 PA Primary

Addresses

Primary practice location

409 S 2ND St
4D
Harrisburg, PA 17104-1612

Mailing address

212 Reserve Way
Harrisburg, PA 17110-1792

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Health System2 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.

Locations

409 S 2nd St
#4D
Harrisburg, PA 17104
Phone (717) 657-7525

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1174906267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 RESERVE WAY",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "4D",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-657-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "STATES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SURGICAL COORDINATOR",
        "authorized_official_telephone_number": "717-657-7525"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT016635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.