Pinnacle Medical Partners LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36496 Issued in CO

Legal business name

PINNACLE MEDICAL PARTNERS LLC

Doing business as

Lone Tree Pediatrics

Practice address

10103 Ridgegate Pkwy
Suite 221
Lone Tree, CO 80124-5520

Phone

(303) 803-1005

Fax

(303) 798-3248

NPI assigned

Apr 8, 2015

Last updated

Apr 8, 2015By 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

Mr. Nephtali Matta

Title

Practice Administrator

Phone

(402) 613-4441

Specialties & licenses 1

Addresses

Other names 1

• Lone Tree Pediatrics Doing business as

Tax ID family

Lone Tree Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pinnacle Medical Partners LLC

  dba Lone Tree Pediatrics

  • Pediatrics Physician
  • Parker, CO
  • NPI 1376912865
  NPD tax ID
• Pinnacle Medical Partners LLC

  dba Lone Tree Pediatrics

  • Pediatrics Physician
  • Centennial, CO
  • NPI 1710355052
  NPD tax ID

Locations

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1518353374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY",
            "address_2": "SUITE 221",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245520",
            "telephone_number": "303-803-1005",
            "fax_number": "303-798-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY",
            "address_2": "SUITE 221",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245520",
            "telephone_number": "303-803-1005",
            "fax_number": "303-798-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MEDICAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "NEPHTALI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "402-613-4441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "36496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Tree Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Marie Pierce, OTR
• Grace Guvernator Pierce, MD
• Pikes Peak Hyperbaric and Wound Care Co
• Pine Surgical Institute
• Timothy Frederick Pingree, M.D.
• Zachary John Piotrowski, MD
• Matthew Louis Piro, DO
• Amanda Kaye Pittsley, FNP
• Andrea Mackenzie Plested, FNP-C, RN
• Michelle Plimpton

• Pediatrics Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.