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PINNACLE SURGICAL GROUP PLLC NPI 1972843910


NPI Information

NPI: 1972843910
Provider Name: PINNACLE SURGICAL GROUP, PLLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2235 CEDAR LN
SUITE 101
VIENNA, VA
ZIP 22182
Phone: (703) 778-6000
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PINNACLE SURGICAL GROUP, PLLC is a medical specialty clinic center in Vienna, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PINNACLE SURGICAL GROUP, PLLC NPI is 1972843910. The provider is registered as an organization entity type.

The provider's business location address is:

2235 CEDAR LN
SUITE 101
VIENNA, VA
ZIP 22182-202
Phone: (703) 778-6000
Fax: (703) 778-6005

The provider's authorized official is Nicho Steven Tapazoglou .
The authorized official title is Ceo and has the following contact phone number (312) 282-7414.

The enumeration date for this NPI number is 2/28/2013 and was last updated on 2/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty0101251675VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10101251675OTHERVIRGINIALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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