PINNACLE ENT ALLIANCE LLC (NPI# 1538230313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538230313 |
| Entity Type | Organization |
| Organization Name | PINNACLE ENT ALLIANCE LLC |
| Practice Address |
994 Old Eagle School Rd Suite 1017 Wayne PA 19087-1802 |
| Mailing Address |
Po Box 822336 Philadelphia PA 19182-2336 |
| Practice Telephone | 6109026092 |
| Practice Fax Number | 6104710565 |
| Mailing Telephone | 6109026092 |
| Mailing Fax Number | 6104710565 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | DR. MARC I SURKIN (PRESIDENT) |
| Authorized Official Telephone | 6104466900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
994 OLD EAGLE SCHOOL RD SUITE 1017 |
| City | WAYNE |
| State | PA |
| Zip Code | 19087-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801842893 | Gangadhar S Sreepada | Otolaryngology | 1211 Hamburg Tpke, Suite 205, Wayne, NJ 07470 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124531934 | Rachel Hannah Destefano | Otolaryngology | 800 S Logan Blvd Ste 3100, Hollidaysburg, PA 16648-3050 | 2017-11-15 |
| 1558550830 | Valley Forge Facial Plastic Surgery Ent | Otolaryngology | 206 Gay St, Phoenixville, PA 19460-3721 | 2007-10-23 |
| 1366580458 | Albert Joseph Woodring | Otolaryngology | 1849 S 15th St, Philadelphia, PA 19145-2301 | 2007-02-02 |
| 1376654004 | Daniel Joseph Callaghan Jr. | Otolaryngology | 3126 Wilmington Rd, New Castle, PA 16105-1132 | 2006-08-31 |
| 1982662540 | Elliott Jody Bilofsky | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-05-03 |
| 1568438703 | Tasos Aslanidis | Otolaryngology | 1841 S Broad St, Philadelphia, PA 19148-2115 | 2006-02-27 |
| 1578533212 | Larry A Feiner | Otolaryngology | 2023 E High St, Pottstown, PA 19464-3211 | 2006-01-25 |
| 1700863743 | Raphael Gabay | Otolaryngology | 9500 Roosevelt Blvd, Philadelphia, PA 19115 | 2005-12-30 |
| 1144218793 | Alfred J. Mauriello II | Otolaryngology | 15 Industrial Blvd, Ste 102, Paoli, PA 19301-1608 | 2005-10-07 |
| 1730186404 | Radu Clifford Mihail | Otolaryngology | 1705 Warren Ave Ste 204-205, Williamsport, PA 17701-2647 | 2005-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.