Active NPI
Pinnacle Health Concepts, LLC
- Specialist
- Boardman, OH
National Provider Identifier
1891825535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10021
- Legal business name
- PINNACLE HEALTH CONCEPTS, LLC
- Practice address
- 755 Boardman Canfield Rd
BLDG F, Unit 2
Boardman, OH 44512-4300 - Phone
- (330) 480-9362
- Fax
- (330) 480-9407
- NPI assigned
- Mar 6, 2007
- 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
- Jean A McConnell, PT
- Title
- President Owner
- Phone
- (330) 480-9362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 10021 | OH | Primary |
Addresses
Primary practice location
755 Boardman Canfield Rd
BLDG F, Unit 2
Boardman, OH 44512-4300
Mailing address
755 Boardman Canfield Rd
BLDG F, Unit 2
Boardman, OH 44512-4300
Phone (330) 480-9362
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2384647 | Medicaid | OH | |
| 9336281 | Other | OH | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Pinnacle Health Concepts
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Boardman, OH
- NPI 1457598898
Locations
1280 Boardman Canfield Rd
Ste 6
Boardman, OH 44512
Phone (330) 729-2135
755 Boardman Canfield Rd
Ste F2
Youngstown, OH 44512
Phone (330) 480-9362
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Boardman, OH
- NPI 1215903984
-
- Physical Therapist
- Pittsburgh, PA
- NPI 1205079720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459814400000",
"number": "1891825535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 BOARDMAN CANFIELD RD",
"address_2": "BLDG F, UNIT 2",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124300",
"telephone_number": "330-480-9362",
"fax_number": "330-480-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 BOARDMAN CANFIELD RD",
"address_2": "BLDG F, UNIT 2",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124300",
"telephone_number": "330-480-9362",
"fax_number": "330-480-9407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE HEALTH CONCEPTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2016-04-05",
"status": "A",
"authorized_official_last_name": "MCCONNELL",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "330-480-9362",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OH",
"license": "10021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2384647",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "9336281",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.