Pinnacle Neurosurgical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PINNACLE NEUROSURGICAL

Practice address

17200 Chenal Pkwy Ste 300
Little Rock, AR 72223-5965

Phone

(501) 552-6400

Fax

(501) 552-6413

NPI assigned

Oct 30, 2018

Last updated

Oct 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen ShafizadehNPI 1508177114

Title

MD PHD

Phone

(501) 552-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Faraz Shafizadeh, MD PHD DC

  • Neurological Surgery Physician
  • Colton, CA
  • NPI 1508177114
  NPD Authorized official

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1649747502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 CHENAL PKWY STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 CHENAL PKWY STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235965",
            "telephone_number": "501-552-6400",
            "fax_number": "501-552-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE NEUROSURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "SHAFIZADEH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MD PHD",
        "authorized_official_telephone_number": "501-552-6400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192487001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Gastroenterology Associates PLLC
• Pinnacle Health Partners PLLC (Diversity Family Health)
• Pinnacle Hearing LLC
• Pinnacle House Psychosocial Rehabilitation Program
• Pinnacle Medical Resources, L.L.C
• Pinnacle Orthopedics P.a.
• Pinnacle Pathology
• Pinnacle Periodontics (Pinnacle Periodontics & Dental Implant Center)
• Pinnacle Periodontics (Pinnacle Periodontics & Dental Implant Center)
• Pinnacle Physical Therapy LLC

• Durable Medical Equipment & Medical Supplies in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.