NPIMap

Organization Active NPI

Pinnacle Orthopedic & Spine Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Buffalo, NY
National Provider Identifier
1720190861
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
208367-1 Issued in NY
Legal business name
PINNACLE ORTHOPEDIC & SPINE SPECIALISTS, LLC
Practice address
700 Michigan Ave
Buffalo, NY 14203-1514
Phone
(716) 854-5700
Fax
(716) 854-5800
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Dr. Cameron B Huckell, M.D.NPI 1700809530
Title
Owner
Phone
(716) 854-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 208367-1 NY Primary

Addresses

Primary practice location

700 Michigan Ave
Buffalo, NY 14203-1514

Mailing address

700 Michigan Ave
Buffalo, NY 14203-1514
Phone (716) 854-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070307000063 NY Part B Supplier - Clinic/Group Practice 5799888004 Receives reassigned benefits from 18 practitioners
Practice locations: Buffalo, NY; Orchard Park, NY
O20100930044772 NY DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5799888004 Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1720190861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031514",
            "telephone_number": "716-854-5700",
            "fax_number": "716-854-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MICHIGAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031514",
            "telephone_number": "716-854-5700",
            "fax_number": "716-854-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ORTHOPEDIC & SPINE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "HUCKELL",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-854-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "208367-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.