Pinnacle Sports Medicine & Orthopaedics, Pa is an orthopedic surgery with a current address of 1818 E 23rd Ave Hutchinson KS 67502-1106. The NPI is 1598091308, and the license number is (KS). It was issued on 10/29/2009. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 04/22/2010.
Pinnacle Sports Medicine & Orthopaedics, Pa can be reached by phone at 6206626000, by mail at 800 Medical Center Dr Ste. 240 Newton KS 67114-7808, or by fax at 6206692394.
Gordon Funk (Ceo) is the authorized representative of the organization and can be reached at this phone number: 6206634800.
Name: Pinnacle Sports Medicine & Orthopaedics, Pa
Specialization: Orthopedic Surgery
Provider Entity Type: Organization
Is Organization Subpart: No
Authorized Name: Gordon Funk
Authorized Title/Position: Ceo
Contact Number: 6206634800
Practice Location Address:
1818 E 23rd Ave
Hutchinson
KS 67502-1106
Telephone Number: 6206626000
Fax Number: 6206692394
Mailing Address:
800 Medical Center Dr Ste. 240
Newton
KS 67114-7808
Telephone Number: 3162839977
Fax Number: 3162830966
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1598091308
Enumeration Date: 10/29/2009
Last Update: 04/22/2010
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number:
License State: KS
Taxonomy Group: 193400000x Single Specialty Group
Other Taxonomy (if any):
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
Identifier: 100644510A
Code Type: 5
Identifier State: KS
Identifier Issuer:
Other Identifiers (if any):
4705300001
1
KS
DMERC