Provider Demographics
NPI:1871696443
Name:PINNACLE INTERNAL MEDICINE ASSOCIATES LLC
Entity type:Organization
Organization Name:PINNACLE INTERNAL MEDICINE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:GLEESON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-621-5091
Mailing Address - Street 1:532 SOUTH AIKEN AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232
Mailing Address - Country:US
Mailing Address - Phone:412-621-5091
Mailing Address - Fax:412-621-5107
Practice Address - Street 1:532 SOUTH AIKEN AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232
Practice Address - Country:US
Practice Address - Phone:412-621-5091
Practice Address - Fax:412-621-5107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1651929OtherHIGHMARK
PA085201TFBMedicare ID - Type Unspecified