Basic Information
Provider Information
NPI: 1013441690
EntityType: 2
ReplacementNPI:  
OrganizationName: PINNACLE HEALTH REGIONAL PHYSICIANS
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 409 S 2ND ST
Address2: SUITE 2F
City: HARRISBURG
State: PA
PostalCode: 171041612
CountryCode: US
TelephoneNumber: 7172303416
FaxNumber:  
Practice Location
Address1: 409 S 2ND ST
Address2: SUITE 2F
City: HARRISBURG
State: PA
PostalCode: 171041612
CountryCode: US
TelephoneNumber: 7172318929
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/20/2017
LastUpdateDate: 04/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: GUARNESCHELLI
AuthorizedOfficialFirstName: PHIL
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 7177825181
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansUrology 
208D00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansGeneral Practice 
363A00000X  N193200000X MULTI-SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
207Q00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily Medicine 
207RE0101X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
207RH0003X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RN0300X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
207V00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 
363L00000X  N193200000X MULTI-SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
367A00000X  N193200000X MULTI-SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
2085R0202X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
208600000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansSurgery 
207X00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207ZC0006X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPathologyClinical Pathology
207R00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home