Provider Demographics
NPI:1295825354
Name:PINNACLE ANESTHESIA CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:PINNACLE ANESTHESIA CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHEAIRS
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:501-223-9991
Mailing Address - Street 1:4 SHACKLEFORD PLAZA
Mailing Address - Street 2:SUITE 212
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-1844
Mailing Address - Country:US
Mailing Address - Phone:501-223-9991
Mailing Address - Fax:501-223-9925
Practice Address - Street 1:4 SHACKLEFORD PLZ
Practice Address - Street 2:SUITE 212
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-1826
Practice Address - Country:US
Practice Address - Phone:501-223-9991
Practice Address - Fax:501-223-9925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMC2416174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F263Medicare ID - Type UnspecifiedCLINIC MEDICARE PROVIDER