Healthcare Provider Details

I. General information

NPI: 1386148856
Provider Name (Legal Business Name): PINNACLE INPATIENT MEDICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3909 S WILSON RD
RADCLIFF KY
40160-8944
US

IV. Provider business mailing address

9523 US HIGHWAY 42 UNIT 785
PROSPECT KY
40059-5031
US

V. Phone/Fax

Practice location:
  • Phone: 270-351-9444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: IMRAN NASIR
Title or Position: PRESIDENT
Credential:
Phone: 502-593-8877