NPIMap

Organization Active NPI

Pinnacle Health Medical Services

Doing business as UPMC Surgery Optimization Clinic

  • Internal Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1356799662
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PINNACLE HEALTH MEDICAL SERVICES
Doing business as
UPMC Surgery Optimization Clinic
Practice address
2501 N 3Rd St FL 3
Harrisburg, PA 17110
Phone
(717) 782-4785
Fax
(717) 782-6471
NPI assigned
May 26, 2016
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Amy F Wilkinson
Title
Pe Manager
Phone
(717) 231-8038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2501 N 3Rd St FL 3
Harrisburg, PA 17110

Mailing address

409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612

Other practice location 1

2690 Southfield Dr Ste A
York, PA 17403-4510
Phone (717) 782-4785

Other practice location 2

2005 Technology Pkwy Ste 300
Mechanicsburg, PA 17050-9423
Phone (717) 782-4785

Other practice location 3

2005 Technology Pkwy Ste 100
Mechanicsburg, PA 17050-9413
Phone (717) 782-4785

Other practice location 4

366 Alexander Spring Rd Ste 2
Carlisle, PA 17015-9214
Phone (717) 782-4785

Other identifiers 1

IdentifierTypeStateIssuer
100766676 0064MedicaidPA

Other names 2

  • UPMC Surgery Optimization Clinic Doing business as
  • PinnacleHealth Surgery Optimization Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000180 PA Part B Supplier - Clinic/Group Practice 7618960493 Receives reassigned benefits from 2,171 practitioners
This NPI is an additional NPI on the enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2123547Upmc Surgery Optimization Clinic2501 N Third St, 3Rd Floor, Office #2, Harrisburg, PA 17110Certificate of waiverDec 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Health Med SVC190 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1356799662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 3RD ST FL 3",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17110",
            "telephone_number": "717-782-4785",
            "fax_number": "717-782-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2690 Southfield Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034510",
            "country_code": "US",
            "telephone_number": "717-782-4785",
            "fax_number": "717-782-6471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 Technology Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509423",
            "country_code": "US",
            "telephone_number": "717-782-4785",
            "fax_number": "717-782-6471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 Technology Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509413",
            "country_code": "US",
            "telephone_number": "717-782-4785",
            "fax_number": "717-782-6471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "366 Alexander Spring Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159214",
            "country_code": "US",
            "telephone_number": "717-782-4785",
            "fax_number": "717-782-6471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE HEALTH MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PE MANAGER",
        "authorized_official_telephone_number": "717-231-8038"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100766676 0064",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Surgery Optimization Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PinnacleHealth Surgery Optimization Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.