Healthcare Provider Details

I. General information

NPI: 1740795061
Provider Name (Legal Business Name): PINNACLE PAIN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2017
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 HOLME AVE STE 205
PHILADELPHIA PA
19152-2029
US

IV. Provider business mailing address

PO BOX 45748
BALTIMORE MD
21297-5748
US

V. Phone/Fax

Practice location:
  • Phone: 215-338-1811
  • Fax: 215-338-3606
Mailing address:
  • Phone: 215-338-1811
  • Fax: 215-338-3606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC RATNER
Title or Position: OWNER/MD
Credential: MD
Phone: 215-338-1811