Organization Active NPI

Pinnacle Surgical Group, PLLC

  • Medical Specialty Clinic/Center
  • Vienna, VA
National Provider Identifier
1972843910
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0101251675 Issued in VA
Legal business name
PINNACLE SURGICAL GROUP, PLLC
Practice address
2235 Cedar LN
Suite 101
Vienna, VA 22182-5202
Phone
(703) 778-6000
Fax
(703) 778-6005
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Nicho Steven Tapazoglou, M.D.
Title
Ceo
Phone
(312) 282-7414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0101251675 VA Primary

Addresses

Primary practice location

2235 Cedar LN
Suite 101
Vienna, VA 22182-5202

Mailing address

2235 Cedar LN
Suite 101
Vienna, VA 22182-5202
Phone (703) 778-6000

Other identifiers 1

IdentifierTypeStateIssuer
0101251675OtherVALICENSE

National Provider Directory

National Provider Directory

Locations

2235 Cedar Ln
Ste 101
Vienna, VA 22182
Phone (703) 348-7857

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1972843910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN",
            "address_2": "SUITE 101",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825202",
            "telephone_number": "703-778-6000",
            "fax_number": "703-778-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN",
            "address_2": "SUITE 101",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825202",
            "telephone_number": "703-778-6000",
            "fax_number": "703-778-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE SURGICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "TAPAZOGLOU",
        "authorized_official_first_name": "NICHO",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-282-7414",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101251675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0101251675",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.