Pinnacle Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PINNACLE HEALTH SERVICES

Practice address

228 S Military Rd Ste 204
Fond Du Lac, WI 54935-4819

Phone

(404) 917-4346

Fax

(866) 493-9554

NPI assigned

Apr 17, 2019

Last updated

Apr 17, 2019By 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

Ms. Ka Lo

Title

Admin

Phone

(404) 917-4346

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1356904106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 CARRIAGE RUN CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300462414",
            "telephone_number": "404-917-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S MILITARY RD STE 204",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354819",
            "telephone_number": "404-917-4346",
            "fax_number": "866-493-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "KA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "404-917-4346",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100076774",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna R Pieper
• Kayla Pieper
• Danielle Leslie Pike, DDS
• Patrick L Pike, MD
• Shirin Pilakka Kandakkil, MD
• Radu E Pirvanescu, MD
• Tristan Pitt, PA-C
• Zachary T Pitz, MS PT/LAT
• Kelli Pitzen
• Ryan M Pizinger, MD

• Home Health Agency in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.