NPIMap

Organization Active NPI

Pinnacle Medical Group Hicks PC

Doing business as Pinnacle Medical Group

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1376121780
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PINNACLE MEDICAL GROUP HICKS PC
Doing business as
Pinnacle Medical Group
Practice address
5975 S Los Altos Pkwy
Sparks, NV 89436-7699
Phone
(775) 204-4000
Fax
(775) 204-4000
NPI assigned
Mar 30, 2021
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Ronald B. Hicks, MDNPI 1326044520
Title
President
Phone
(775) 352-3520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5975 S Los Altos Pkwy
Sparks, NV 89436-7699

Mailing address

5975 S Los Altos Pkwy
Sparks, NV 89436-7699
Phone (775) 204-4000

Other names 1

  • Pinnacle Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Medical Group Hicks PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5975 S Los Altos Pkwy
Sparks, NV 89436

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1376121780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 S LOS ALTOS PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367699",
            "telephone_number": "775-204-4000",
            "fax_number": "775-204-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 S LOS ALTOS PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367699",
            "telephone_number": "775-204-4000",
            "fax_number": "775-204-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MEDICAL GROUP HICKS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-352-3520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.