Active NPI
George D Comfort, M.D.
- Family Medicine Physician
- Mexico, MO
National Provider Identifier
1154306629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32390
- Practice address
- 620 E Monroe St
Mexico, MO 65265-2919 - Phone
- (573) 582-4000
- Fax
- (573) 582-3712
- NPI assigned
- Dec 7, 2005
- Last updated
- Oct 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32390 | MO | Primary |
Addresses
Primary practice location
620 E Monroe St
Mexico, MO 65265-2919
Mailing address
627 Woodlawn St
Mexico, MO 65265-3148
Phone (573) 581-7685
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202469805 | Medicaid | MO | |
| 323290 | Other | MO | STATE OF MISSOURI LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1154306629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 WOODLAWN ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653148",
"telephone_number": "573-581-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 E MONROE ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652652919",
"telephone_number": "573-582-4000",
"fax_number": "573-582-3712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMFORT",
"first_name": "GEORGE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "32390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202469805",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MISSOURI LICENSE",
"identifier": "323290",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mexico, MO
- Sharon Parker Carmignani, M.D.
- Angela Carter, LCSW
- Center for Digestive & Liver Diseases, Inc.
- Joseph Cherri, D.O.
- Eugene Arthur Clervi II, MSW,LCSW
- Comprehensive Medical and Infusion Center
- Comprehensive Medical and Infusion Center LLC
- Mikayla Jane Cooke, LMSW
- Leronica Jam'Es Cooper
- Cornerstone Family Medicine LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.