Active NPI
Pinnacle Health System
- Orthopaedic Surgery Physician
- Harrisburg, PA
National Provider Identifier
1174906267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OT016635
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 System
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1740569953
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.
-
- Orthopaedic Surgery Physician
- Lancaster, PA
- NPI 1669856803
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
- Pinnacle Health Medical Services (PH Cardiovascular and Thoracic Surgery)
- Pinnacle Health Observation Services LLC
- Pinnacle Health Regional Physicians
- Pinnacle Health Regional Physicians (Carlisle Regional Sleep Disorder Center - Linglestown)
- Pinnacle Health Select Rehabilitation, LLC (Helen M Simpson Rehabilitation Hospital)
- Pinnacle Health System
- Pinnacle Health System
- Pinnacle Health Systems (Polyclinic ECU)
- Pinnacle Health Training Programs
- Pinnacle Health Training Programs
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.