Active NPI
Pinnacle Sports Medicine & Orthopaedics, PA
- Orthopaedic Surgery Physician
- Hutchinson, KS
National Provider Identifier
1598091308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PINNACLE SPORTS MEDICINE & ORTHOPAEDICS, PA
- Practice address
- 1818 E 23Rd Ave
Hutchinson, KS 67502-1106 - Phone
- (620) 662-6000
- Fax
- (620) 669-2394
- NPI assigned
- Oct 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gordon J. Funk
- Title
- Ceo
- Phone
- (620) 663-4800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | KS | Primary |
Addresses
Primary practice location
1818 E 23Rd Ave
Hutchinson, KS 67502-1106
Mailing address
800 Medical Center Dr
Ste. 240
Newton, KS 67114-7808
Phone (316) 283-9977
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110633 | Other | KS | BCBS |
| 100644510A | Medicaid | KS | |
| 4705300001 | Other | KS | DMERC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Hutchinson, KS
- NPI 1306860507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271894400000",
"number": "1598091308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"address_2": "STE. 240",
"city": "NEWTON",
"state": "KS",
"postal_code": "671147808",
"telephone_number": "316-283-9977",
"fax_number": "316-283-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 E 23RD AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021106",
"telephone_number": "620-662-6000",
"fax_number": "620-669-2394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE SPORTS MEDICINE & ORTHOPAEDICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-29",
"last_updated": "2010-04-22",
"status": "A",
"authorized_official_last_name": "FUNK",
"authorized_official_first_name": "GORDON",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "620-663-4800"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "110633",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100644510A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4705300001",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.