Organization Active NPI

Pinnacle Anesthesia Consultants, PA

  • Anesthesiology Physician
  • Bedford, TX
National Provider Identifier
1306262878
Registry record updated Mar 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PINNACLE ANESTHESIA CONSULTANTS, PA
Practice address
1604 Hospital Pkwy
Ste 308
Bedford, TX 76022-6986
Phone
(817) 354-8697
Fax
(817) 545-2015
NPI assigned
Mar 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2014

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

Authorized official

Name
Raymond Romo
Title
Director
Phone
(972) 715-5000

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X TX Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X TX
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X TX
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X TX
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X TX
Anesthesiologist AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 367H00000X TX

Addresses

Primary practice location

1604 Hospital Pkwy
Ste 308
Bedford, TX 76022-6986

Mailing address

PO Box 650426
Dallas, TX 75265-0426
Phone (972) 715-5000

National Provider Directory

National Provider Directory

Locations

1604 Hospital Pkwy
Ste 308
Bedford, TX 76022
Phone (817) 354-8697

NPI Registry JSON

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394236800000",
    "number": "1306262878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650426",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY",
            "address_2": "STE 308",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226986",
            "telephone_number": "817-354-8697",
            "fax_number": "817-545-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ANESTHESIA CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-03-08",
        "status": "A",
        "authorized_official_last_name": "ROMO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-715-5000"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiologist Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2014; 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.