NPIMap

Organization Active NPI

Comprehensive OB/GYN Care, Inc

  • Obstetrics & Gynecology Physician
  • Cranston, RI
National Provider Identifier
1093760498
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
COMPREHENSIVE OB/GYN CARE, INC
Practice address
725 Reservoir Ave
Cranston, RI 02910-4448
Phone
(401) 946-4022
Fax
(401) 946-4077
NPI assigned
May 23, 2006
Last updated
Jun 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
A. Michael Coppa, MDNPI 1114964251
Title
Owner
Phone
(401) 946-4022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

725 Reservoir Ave
Cranston, RI 02910-4448

Mailing address

725 Reservoir Ave
Suite 203
Cranston, RI 02910-4448
Phone (401) 946-4022

Other identifiers 1

IdentifierTypeStateIssuer
C046405MedicaidRI

National Provider Directory

National Provider Directory

Locations

725 Reservoir Ave
Ste 203
Cranston, RI 02910
Phone (401) 946-4022

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEJCCA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1093760498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "SUITE 203",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-946-4022",
            "fax_number": "401-946-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-946-4022",
            "fax_number": "401-946-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE OB/GYN CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "COPPA",
        "authorized_official_first_name": "A. MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-946-4022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C046405",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.