Organization Active NPI

Pinnacle Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Peoria, IL
National Provider Identifier
1265088801
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PINNACLE ANESTHESIA CONSULTANTS LLC
Practice address
2419 W Cornerstone CT
Peoria, IL 61614-2529
Phone
(309) 265-3415
NPI assigned
Aug 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Eric Hawkins, MD
Title
Owner
Phone
(309) 265-3415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2419 W Cornerstone CT
Peoria, IL 61614-2529

Mailing address

2419 W Cornerstone CT
Peoria, IL 61614-2529
Phone (309) 265-3415

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1265088801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 W CORNERSTONE CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142529",
            "telephone_number": "309-265-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 W CORNERSTONE CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142529",
            "telephone_number": "309-265-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ANESTHESIA CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-265-3415",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.