NPIMap

Organization Active NPI

Comprehensive Internal Medicine Associates

  • Geriatric Medicine (Internal Medicine) Physician
  • Phila, PA
National Provider Identifier
1326094384
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
COMPREHENSIVE INTERNAL MEDICINE ASSOCIATES
Practice address
7602 Central Ave
Stapeley BLDG Suite 101
Phila, PA 19111-2443
Phone
(215) 969-2900
Fax
(215) 969-1856
NPI assigned
May 25, 2006
Last updated
Feb 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Dr. Courtney Snyder, D.O.NPI 1831202126
Title
Provider
Phone
(215) 969-2900

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
Geriatric Medicine (Internal Medicine) Physician 207RG0300X Primary

Addresses

Primary practice location

7602 Central Ave
Stapeley BLDG Suite 101
Phila, PA 19111-2443

Mailing address

7602 Central Ave
Stapeley BLDG Suite 101
Phila, PA 19111-2443
Phone (215) 969-2900

Other identifiers 3

IdentifierTypeStateIssuer
0786893000OtherPAINDEPENDENCE BLUE SHIELD
CA7002OtherRAILROAD MEDICARE
670335OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1326094384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 CENTRAL AVE",
            "address_2": "STAPELEY BLDG SUITE 101",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191112443",
            "telephone_number": "215-969-2900",
            "fax_number": "215-969-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 CENTRAL AVE",
            "address_2": "STAPELEY BLDG SUITE 101",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191112443",
            "telephone_number": "215-969-2900",
            "fax_number": "215-969-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "215-969-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE SHIELD",
            "identifier": "0786893000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA7002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "670335",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.