Organization Active NPI

Pinnacle Anesthesia of Woodstock, PC

  • Anesthesiology Physician
  • Woodstock, GA
National Provider Identifier
1639462971
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.