Active NPI
John W Pinnella MD PA
- Plastic and Reconstructive Surgery Physician
- Fort Lauderdale, FL
National Provider Identifier
1912144916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME39619
- Legal business name
- JOHN W PINNELLA MD PA
- Practice address
- 4610 N Federal Hwy
Fort Lauderdale, FL 33308-5206 - Phone
- (954) 491-5340
- Fax
- (954) 771-6465
- NPI assigned
- Jan 13, 2009
- Last updated
- Jan 13, 2009
- 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
- Dr. John W Pinnella, MD
- Title
- President
- Phone
- (954) 491-5340
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME39619 | FL | Primary |
Addresses
Primary practice location
4610 N Federal Hwy
Fort Lauderdale, FL 33308-5206
Mailing address
4610 N Federal Hwy
Fort Lauderdale, FL 33308-5206
Phone (954) 491-5340
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Plastic Surgery Physician
- Fort Lauderdale, FL
- NPI 1538171228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231804800000",
"number": "1912144916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333085206",
"telephone_number": "954-491-5340",
"fax_number": "954-771-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333085206",
"telephone_number": "954-491-5340",
"fax_number": "954-771-6465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN W PINNELLA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-13",
"last_updated": "2009-01-13",
"status": "A",
"authorized_official_last_name": "PINNELLA",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-491-5340",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME39619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.