E.P. Cortez Medical, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

E5240 Issued in AR

Legal business name

E.P. CORTEZ MEDICAL, PA

Doing business as

Pinnacle Pain Management Company

Practice address

523 Harkrider St
Conway, AR 72032-5631

Phone

(501) 327-4484

Fax

(501) 327-5963

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Trysta McGuire

Title

Office Administrator

Phone

(501) 327-4484

Specialties & licenses 1

Addresses

Other names 1

• Pinnacle Pain Management Company Doing business as

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1295166676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 HARKRIDER ST",
            "address_2": "P.O. BOX 506",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325631",
            "telephone_number": "501-327-4484",
            "fax_number": "501-327-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 HARKRIDER ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325631",
            "telephone_number": "501-327-4484",
            "fax_number": "501-327-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.P. CORTEZ MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "TRYSTA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "501-327-4484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "E5240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Pain Management Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Conway, AR
• Providers in Conway, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.