Organization Active NPI

Pinnacle Medical Group

  • General Practice Physician
  • Detroit, MI
National Provider Identifier
1629515770
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PINNACLE MEDICAL GROUP
Practice address
535 Griswold St Ste 212
Detroit, MI 48226-3604
Phone
(313) 358-4883
Fax
(313) 993-0693
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Valerie Norwood-Nicholson
Title
Owner
Phone
(313) 358-4883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

535 Griswold St Ste 212
Detroit, MI 48226-3604

Mailing address

535 Griswold St Ste 212
Detroit, MI 48226-3604
Phone (313) 358-4883

National Provider Directory

National Provider Directory

Locations

535 Griswold St
Ste 212
Detroit, MI 48226
Phone (313) 358-4883

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1629515770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 GRISWOLD ST STE 212",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263604",
            "telephone_number": "313-358-4883",
            "fax_number": "313-993-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 GRISWOLD ST STE 212",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263604",
            "telephone_number": "313-358-4883",
            "fax_number": "313-993-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "NORWOOD-NICHOLSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-358-4883"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.