Active NPI
Pinnacle Surgical Group, PLLC
- Medical Specialty Clinic/Center
- Vienna, VA
National Provider Identifier
1972843910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 0101251675
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101251675 | Other | VA | LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.