Pinnacle Regional Hospital, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

248-47 Issued in MO

Legal business name

PINNACLE REGIONAL HOSPITAL, LLC

Practice address

17651 B Hwy
Boonville, MO 65233-2839

Phone

(660) 882-7461

Fax

(660) 882-6093

NPI assigned

Jul 17, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Skanes

Title

Credentialing Contact

Phone

(660) 882-7461

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1780160366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 N BELLEVIEW AVE STE 205",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162119",
            "telephone_number": "816-809-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17651 B HWY",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332839",
            "telephone_number": "660-882-7461",
            "fax_number": "660-882-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE REGIONAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "SKANES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING CONTACT",
        "authorized_official_telephone_number": "660-882-7461"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "248-47",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "248-47",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "248-47",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Pierce Martin, PHARMD
• Kalani Ray Pihana, DC
• Elise Catherine Pilger, AGNP-C
• Pinnacle Regional Hospital, LLC
• Pinnacle Regional Hospital, LLC
• Pinnacle Regional Hospital,LLC
• Ricky D. Powell, DDS
• Sandra Sue Rahm, LPC
• Laura Reans, SLP
• Phyllis M Reesman, LCSW

• All providers in Boonville, MO
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.