Active NPI
Pinnacle Anesthesia of Woodstock, PC
- Anesthesiology Physician
- Woodstock, GA
National Provider Identifier
1639462971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PINNACLE ANESTHESIA OF WOODSTOCK, PC
- Practice address
- 1505 Stone Bridge Pkwy
Suite 200
Woodstock, GA 30189-8251 - Phone
- (770) 926-9112
- Fax
- (770) 720-4508
- NPI assigned
- May 19, 2011
- Last updated
- Jul 12, 2011
- 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
- Dr. Kevin Haim
- Title
- Ceo
- Phone
- (770) 720-1063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
1505 Stone Bridge Pkwy
Suite 200
Woodstock, GA 30189-8251
Mailing address
125 Gay Thompson Dr
Canton, GA 30115-4745
Phone (770) 720-1063
National Provider Directory
National Provider DirectoryLocations
1505 Stone Bridge Pkwy
Ste 200
Woodstock, GA 30189
Phone (770) 926-6520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310428800000",
"number": "1639462971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 GAY THOMPSON DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301154745",
"telephone_number": "770-720-1063",
"fax_number": "770-720-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 STONE BRIDGE PKWY",
"address_2": "SUITE 200",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301898251",
"telephone_number": "770-926-9112",
"fax_number": "770-720-4508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE ANESTHESIA OF WOODSTOCK, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-19",
"last_updated": "2011-07-12",
"status": "A",
"authorized_official_last_name": "HAIM",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-720-1063",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.