Pinnacle Medical Group PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME13523 Issued in FL

Legal business name

PINNACLE MEDICAL GROUP PA

Practice address

315 75TH St W
Bradenton, FL 34209-3201

Phone

(941) 761-1998

Fax

(941) 761-0395

NPI assigned

Jul 15, 2006

Last updated

Jul 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marc Stephen Kallins, M.D.NPI 1366437576

Title

President

Phone

(941) 750-0602

Specialties & licenses 11

Addresses

Other identifiers 9

Locations

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Stephen Kallins, MD

  • Physical Medicine & Rehabilitation Physician
  • Bradenton, FL
  • NPI 1366437576
  NPD (past) Authorized official
• Daniel Amoah, MD

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1063612927
  NPD (past)
• Karen M Bethune, ARNP

  • Critical Care Pediatric Nurse Practitioner
  • Bradenton, FL
  • NPI 1003872938
  NPD (past)
• Robert E Blackwood, MD

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1043205826
  NPD (past)
• Andrew E Burg, MD

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1427043181
  NPD (past)
• Francisco M Cervoni, MD

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1790774792
  NPD (past)
• Scott K Clulow, DO

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1174518310
  NPD (past)
• Kenneth H Crager, MD

  • Rheumatology Physician
  • Bradenton, FL
  • NPI 1902891120
  NPD (past)
• Denise C Elswick, ARNP

  • Adult Health Nurse Practitioner
  • Lakewood Ranch, FL
  • NPI 1053311845
  NPD (past)
• Francisco Higinio Esparza, MD

  • Neurology Physician
  • Bradenton, FL
  • NPI 1528053733
  NPD (past)
• Eric M Folkens, MD

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1770578916
  NPD (past)
• Lawrence Friedman, M.D.

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1043283153
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1316963077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 75TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093201",
            "telephone_number": "941-761-1998",
            "fax_number": "941-761-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 75TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093201",
            "telephone_number": "941-761-1998",
            "fax_number": "941-761-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "KALLINS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-750-0602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY6258",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME34789",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME13523",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME44610",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME11749",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME64188",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME68033",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME74784",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME40567",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME72170",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CH1832",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN7277",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21818",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254897600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254897602",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254897603",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254897605",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254897601",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254897604",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Geovanna Pimentel Ramirez, DDS
• Pinellas Home Medical (Pineview Home Medical)
• Jessica Summer Pinkerton
• Kathryn Ann Pinkston, APRN
• Pinnacle Dental, Inc (Bradenton Family Dentistry)
• Pinnacle Physician Network, LLC
• Cassidy Pintozzi
• Shannon Rae Pippin
• Amanda Leigh Pirchner, M.S., CCC-SLP
• Kelly D Pireaux, RPH

• Family Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.