| Pinnacle Wound Providers, Llc | |
|
4580 Stephens Cir Nw Ste 202 Canton OH 44718-3645 | |
| (330) 754-4431 | |
| (330) 244-8839 |
| Full Name | Pinnacle Wound Providers, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4580 Stephens Cir Nw Ste 202, Canton, Ohio |
| Authorized Official Name and Position | Brian Mcclain (CEO) |
| Authorized Official Contact | 3307544431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Wound Providers, Llc 4580 Stephens Cir Nw Ste 202 Canton OH 44718-3645 Ph: (330) 754-4431 | Pinnacle Wound Providers, Llc 4580 Stephens Cir Nw Ste 202 Canton OH 44718-3645 Ph: (330) 754-4431 |
| NPI Number | 1053193292 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 7810337318 |
|---|---|
| Medicare Enrollment ID | O20240501001951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053193292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian W Mcclain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821038043 PECOS PAC ID: 4789675422 Enrollment ID: I20040520001172 |
| Provider Name | Abby Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215351556 PECOS PAC ID: 6002049210 Enrollment ID: I20140423001476 |
| Provider Name | Elizabeth Trent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265934061 PECOS PAC ID: 5991039125 Enrollment ID: I20190621002536 |
| Provider Name | Stacey Wasem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831724640 PECOS PAC ID: 8729409370 Enrollment ID: I20200605002292 |
| Provider Name | Courtney Renee Majors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992433213 PECOS PAC ID: 0648642520 Enrollment ID: I20230203000204 |
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