Pinnacle Mid-Atlantic Anesthesia Associates PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PINNACLE MID-ATLANTIC ANESTHESIA ASSOCIATES PC

Practice address

100 Witmer Rd
Ste 220
Horsham, PA 19044-2251

Phone

(215) 442-5080

Fax

(877) 329-2370

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

Michael R Hicks, MD

Title

President

Phone

(954) 838-2371

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1356745046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "954-838-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WITMER RD",
            "address_2": "STE 220",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442251",
            "telephone_number": "215-442-5080",
            "fax_number": "877-329-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MID-ATLANTIC ANESTHESIA ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-838-2371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Phillips
• Photomedex, Inc.
• Peter V Pickens, M.D.
• Alyssa Pilsits
• Pine Run Alternative Health Care Center Inc
• Anna Dare Pintauro, NP
• Anthony H Pitaro, RPH
• Christine Lynn Polochak, CRNP
• Tamarla Raelynn Ponticelli, M.ED, BCBA
• Philip A Poston, PHD

• Anesthesiology Physician in Horsham, PA
• Providers in Horsham, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.