Pinnacle Sports & Integrative Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PINNACLE SPORTS & INTEGRATIVE MEDICINE LLC

Practice address

9023 E Desert Cove Ave Ste 101
Scottsdale, AZ 85260-6779

Phone

(480) 407-6400

Fax

(480) 407-6400

NPI assigned

Oct 31, 2017

Organization subpart

No

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

Authorized official

Name

Matthew Crooks, MD

Title

Physician

Phone

(480) 407-6400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1205348257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 304A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088729",
            "telephone_number": "480-407-6400",
            "fax_number": "480-407-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 E DESERT COVE AVE STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606779",
            "telephone_number": "480-407-6400",
            "fax_number": "480-407-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE SPORTS & INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "CROOKS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-407-6400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "4105",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pinwheel Therapy LLC
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• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.