Pinnacle Family Healthcare

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NM20060321 Issued in NM

Legal business name

PINNACLE FAMILY HEALTHCARE

Practice address

4351 E Lohman Ave
Suite 405
Las Cruces, NM 88011-8259

Phone

(575) 522-0091

Fax

(575) 522-4984

NPI assigned

Feb 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark Cornelius Leatherwood, MD

Title

Owner

Phone

(575) 522-0091

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1184956922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE",
            "address_2": "SUITE 405",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118259",
            "telephone_number": "575-522-0091",
            "fax_number": "575-522-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE",
            "address_2": "SUITE 405",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118259",
            "telephone_number": "575-522-0091",
            "fax_number": "575-522-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "LEATHERWOOD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CORNELIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-522-0091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "NM20060321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Louis Pierce
• Pamela Ann Pierce, LISW, LADAC
• Bernadette Pina, LPCC
• Jorge Jr. Pinales
• Lauren Elise Pincomb Apodaca
• Pinnacle Health Facilities Xxxiii LP
• Heidi Pinnick, CCC-SLP
• Shawni Pinson
• Alexis T Pitcher
• Catherine Sylvester Pitts, M.ED.CCC-SLP

• Family Medicine Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.