| Pinnacle Health Observation Services Llc | |
|
111 S Front St Harrisburg PA 17101-2010 | |
| (717) 782-3380 | |
| (717) 782-5716 |
| Full Name | Pinnacle Health Observation Services Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 111 S Front St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Christopher P Markley (SENIOR VP) |
| Authorized Official Contact | 7172318210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Health Observation Services Llc 409 S 2nd St Suite 2f Harrisburg PA 17104-1612 Ph: () - | Pinnacle Health Observation Services Llc 111 S Front St Harrisburg PA 17101-2010 Ph: (717) 782-3380 |
| NPI Number | 1316341241 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 04/25/2016 |
| Medicare PECOS PAC ID | 9537481528 |
|---|---|
| Medicare Enrollment ID | O20141202001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316341241 | NPI | - | NPPES |
| 102985054 0001 | Medicaid | PA |
| Provider Name | Ralph D Bledsoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265468458 PECOS PAC ID: 6901700590 Enrollment ID: I20031125000349 |
| Provider Name | Jon A Dubin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114970480 PECOS PAC ID: 2466352745 Enrollment ID: I20040112000316 |
| Provider Name | John D Goldman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306802277 PECOS PAC ID: 6103809140 Enrollment ID: I20040610000633 |
| Provider Name | Lorraine Wentz Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730164450 PECOS PAC ID: 3678543188 Enrollment ID: I20040730000237 |
| Provider Name | John F Reilly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407825854 PECOS PAC ID: 2961450648 Enrollment ID: I20050110000532 |
| Provider Name | Steven R Ginder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386621225 PECOS PAC ID: 8820037781 Enrollment ID: I20050429000213 |
| Provider Name | Nina Lynne Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043286156 PECOS PAC ID: 1951356120 Enrollment ID: I20050512000113 |
| Provider Name | Natalie R Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669467627 PECOS PAC ID: 2264449644 Enrollment ID: I20060309000197 |
| Provider Name | Marc Michel Bonin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154323723 PECOS PAC ID: 1557372471 Enrollment ID: I20060508000126 |
| Provider Name | Anthony J Guarracino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053355990 PECOS PAC ID: 7517063092 Enrollment ID: I20070430000177 |
| Provider Name | Gerald E Fronko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033156229 PECOS PAC ID: 2365543360 Enrollment ID: I20070720000333 |
| Provider Name | Lester L Himmelreich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982699583 PECOS PAC ID: 6305805912 Enrollment ID: I20071211000121 |
| Provider Name | Joel S Gish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376504241 PECOS PAC ID: 0749360113 Enrollment ID: I20080110000521 |
| Provider Name | Peter L Kang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649479932 PECOS PAC ID: 4880786904 Enrollment ID: I20080428000287 |
| Provider Name | Rupen G Modi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417162215 PECOS PAC ID: 1254400310 Enrollment ID: I20080515000660 |
| Provider Name | Erik I Kochert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205963709 PECOS PAC ID: 1658441670 Enrollment ID: I20081209000660 |
| Provider Name | Gregory D Kohler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518193671 PECOS PAC ID: 1557412541 Enrollment ID: I20090702000516 |
| Provider Name | Ravinder S Dhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578757688 PECOS PAC ID: 0749336295 Enrollment ID: I20090924000233 |
| Provider Name | Eric Gajewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124234919 PECOS PAC ID: 4082752944 Enrollment ID: I20091113000009 |
| Provider Name | David A Haggerty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770746703 PECOS PAC ID: 8325186182 Enrollment ID: I20091116000351 |
| Provider Name | Veena M Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932190337 PECOS PAC ID: 9638206550 Enrollment ID: I20100427000033 |
| Provider Name | Rory M Oneill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518164532 PECOS PAC ID: 0840321204 Enrollment ID: I20100629000155 |
| Provider Name | Frank Ditraglia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568459360 PECOS PAC ID: 3072509348 Enrollment ID: I20110610000071 |
| Provider Name | Laura K Dame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588954952 PECOS PAC ID: 5395917553 Enrollment ID: I20111012000110 |
| Provider Name | Lawrence D Appel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952375453 PECOS PAC ID: 4284643990 Enrollment ID: I20120809000071 |
| Provider Name | Dorothy E Oseghale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558590448 PECOS PAC ID: 9436307634 Enrollment ID: I20120913000078 |
| Provider Name | Jennifer Erich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982651360 PECOS PAC ID: 2961505235 Enrollment ID: I20121022000541 |
| Provider Name | Greg S Swartzentruber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740419498 PECOS PAC ID: 8729077847 Enrollment ID: I20130708000279 |
| Provider Name | Chioma Enyeribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700192275 PECOS PAC ID: 9032398227 Enrollment ID: I20130821000648 |
| Provider Name | Heidi L Hutchison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134430671 PECOS PAC ID: 1658515689 Enrollment ID: I20130913000086 |
| Provider Name | Vijayavani Anand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174831937 PECOS PAC ID: 0547404220 Enrollment ID: I20130919000136 |
| Provider Name | Ankit Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851601637 PECOS PAC ID: 0547495723 Enrollment ID: I20131023001706 |
| Provider Name | Jacob B Diehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457546947 PECOS PAC ID: 2466505318 Enrollment ID: I20140218001422 |
| Provider Name | Mandy L Poff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730518580 PECOS PAC ID: 5698992279 Enrollment ID: I20140805001055 |
| Provider Name | Mansi R Kamdar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336409101 PECOS PAC ID: 9234356510 Enrollment ID: I20140811000319 |
| Provider Name | Blake K Isom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336433788 PECOS PAC ID: 9931327673 Enrollment ID: I20140821002208 |
| Provider Name | Courtney Devlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073773875 PECOS PAC ID: 1052599693 Enrollment ID: I20140828000426 |
| Provider Name | Thuy Nhu Le-rathell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760700389 PECOS PAC ID: 3476773649 Enrollment ID: I20141010000689 |
| Provider Name | Edie L Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982000642 PECOS PAC ID: 0244552701 Enrollment ID: I20141211001651 |
| Provider Name | Erica A Carnazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689067035 PECOS PAC ID: 0840518643 Enrollment ID: I20150407001382 |
| Provider Name | Christopher R Scheid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689936130 PECOS PAC ID: 1355653833 Enrollment ID: I20150713001050 |
| Provider Name | Albert C Villarosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306881701 PECOS PAC ID: 2769511880 Enrollment ID: I20151021002476 |
| Provider Name | Regina I Bagby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033584610 PECOS PAC ID: 0143522292 Enrollment ID: I20160106000520 |
| Provider Name | Catherine M Moffa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083719 PECOS PAC ID: 5799082558 Enrollment ID: I20160323000543 |
| Provider Name | Hao Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649581448 PECOS PAC ID: 3678862257 Enrollment ID: I20161130002432 |
| Provider Name | Richard H Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962933531 PECOS PAC ID: 9436427739 Enrollment ID: I20170609000022 |
| Provider Name | Cornelius Strait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821527763 PECOS PAC ID: 0244501625 Enrollment ID: I20170803000089 |
| Provider Name | Chase Stanford Turner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770903031 PECOS PAC ID: 6002034972 Enrollment ID: I20170830003525 |
| Provider Name | Tiffany Michelle Hagmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306343504 PECOS PAC ID: 8628325578 Enrollment ID: I20180724000087 |
| Provider Name | Rebekah C Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841790748 PECOS PAC ID: 2567708613 Enrollment ID: I20190109003314 |
| Provider Name | Monica L Klunk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437630472 PECOS PAC ID: 0446599328 Enrollment ID: I20190312001337 |
| Provider Name | May Kyaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811351737 PECOS PAC ID: 5597019877 Enrollment ID: I20190917001200 |
| Provider Name | Swapna Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598299596 PECOS PAC ID: 3274801188 Enrollment ID: I20200721000035 |
| Provider Name | Kelly Lynn Drane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023612991 PECOS PAC ID: 1052724911 Enrollment ID: I20210113003004 |
| Provider Name | Amber Sue Zerby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447849286 PECOS PAC ID: 3072927524 Enrollment ID: I20210126000006 |
| Provider Name | Chandi Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437646486 PECOS PAC ID: 3274882881 Enrollment ID: I20210712001042 |
| Provider Name | Jonelle R Derk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003487992 PECOS PAC ID: 3375946437 Enrollment ID: I20210727001711 |
| Provider Name | Maria Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154828556 PECOS PAC ID: 2264785104 Enrollment ID: I20210830000597 |
| Provider Name | Janet Chan Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851898662 PECOS PAC ID: 0143626374 Enrollment ID: I20210913003217 |
| Provider Name | Kyaw T Thein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730683756 PECOS PAC ID: 9739436155 Enrollment ID: I20220114000737 |
| Provider Name | Antonio Neve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407579527 PECOS PAC ID: 2062889934 Enrollment ID: I20221105000082 |
| Provider Name | Lanelle Louise Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760107510 PECOS PAC ID: 7719356955 Enrollment ID: I20221212000891 |
| Provider Name | Tahreem Asif Muhammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821861980 PECOS PAC ID: 0345685319 Enrollment ID: I20240229001251 |
| Provider Name | Carol Sebulonde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568217966 PECOS PAC ID: 5193167609 Enrollment ID: I20240530000332 |
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