Active NPI
Pinnacle Physicians Group, LLC
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1194066308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PINNACLE PHYSICIANS GROUP, LLC
- Practice address
- 3998 Red Lion Rd
Suite 306
Philadelphia, PA 19114-1445 - Phone
- (215) 370-5176
- NPI assigned
- Mar 13, 2013
- 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
- Larry S Hahn, DO
- Title
- President
- Phone
- (215) 464-4111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3998 Red Lion Rd
Suite 306
Philadelphia, PA 19114-1445
Mailing address
339 E Street Rd
Trevose, PA 19053-7711
Phone (215) 464-4111
National Provider Directory
National Provider Directory- Tax ID family
- Pinnacle Physicians GRP LLC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363132800000",
"number": "1194066308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 E STREET RD",
"city": "TREVOSE",
"state": "PA",
"postal_code": "190537711",
"telephone_number": "215-464-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 RED LION RD",
"address_2": "SUITE 306",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141445",
"telephone_number": "215-370-5176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE PHYSICIANS GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-13",
"last_updated": "2013-03-13",
"status": "A",
"authorized_official_last_name": "HAHN",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-464-4111",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.