Active NPI
Pinnacle Health Medical Services
- Family Medicine Physician
- York, PA
National Provider Identifier
1770329856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PINNACLE HEALTH MEDICAL SERVICES
- Practice address
- 80 Wyntre Brooke Dr
York, PA 17403-4535 - Phone
- (717) 849-5589
- Fax
- (717) 472-8278
- NPI assigned
- Jul 8, 2024
- 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
- Sherri Lynn Linebaugh
- Title
- Senior Enrollment Coordinator
- Phone
- (717) 316-3512
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
80 Wyntre Brooke Dr
York, PA 17403-4535
Mailing address
80 Wyntre Brooke Dr
York, PA 17403-4535
Phone (717) 849-5589
Other names 1
- UPMC Primary Care White Rose
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040407000180 | PA | Part B Supplier - Clinic/Group Practice | 7618960493 |
Receives reassigned benefits from 2,171 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2310938 | Upmc White Rose Primary Care | Certificate of waiver | Sep 12, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1770329856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 WYNTRE BROOKE DR",
"city": "YORK",
"state": "PA",
"postal_code": "174034535",
"telephone_number": "717-849-5589",
"fax_number": "717-472-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WYNTRE BROOKE DR",
"city": "YORK",
"state": "PA",
"postal_code": "174034535",
"telephone_number": "717-849-5589",
"fax_number": "717-472-8278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE HEALTH MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "LINEBAUGH",
"authorized_official_first_name": "SHERRI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "SENIOR ENROLLMENT COORDINATOR",
"authorized_official_telephone_number": "717-316-3512"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UPMC Primary Care White Rose",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in York, PA
- Pinnacle Health Medical Services
- Pinnacle Health Medical Services
- Pinnacle Health Medical Services
- Pinnacle Health Medical Services
- Pinnacle Health Medical Services
- Pinnacle Health Medical Services
- Pinnacle Health Regional Physicians
- Pinnacle Health Regional Physicians
- Pinnacle Health Regional Physicians
- Pinnacle Health Regional Physicians
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.