Organization Active NPI

Pinnacle Sports Medicine & Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Hutchinson, KS
National Provider Identifier
1598091308
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Apr 22, 2010

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
110633OtherKSBCBS
100644510AMedicaidKS
4705300001OtherKSDMERC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.