Comprehensive Internal Medicine, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COMPREHENSIVE INTERNAL MEDICINE, INC

Practice address

3727 Friendsville Rd
Suite 2
Wooster, OH 44691-7131

Phone

(330) 202-3444

Fax

(330) 202-3435

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Fast, DONPI 1184624496

Title

President

Phone

(330) 202-3444

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra A Fast, DO

  • Internal Medicine Physician
  • Wooster, OH
  • NPI 1184624496
  Medicare reassignment Care Compare group Authorized official
• Dana M Bonezzi, MD

  • Internal Medicine Physician
  • Wooster, OH
  • NPI 1255331542
  Medicare reassignment Care Compare group NPD
• Kathleen K Fearon, DO

  • Internal Medicine Physician
  • Wooster, OH
  • NPI 1699775932
  Medicare reassignment Care Compare group NPD
• Carolyn Graham, NP-C

  • Family Nurse Practitioner
  • Wooster, OH
  • NPI 1548612682
  Medicare reassignment Care Compare group NPD
• Mary Ellen Ciesa, NURSE PRACTITIONER

  • Nurse Practitioner
  • Akron, OH
  • NPI 1417971359
  Medicare reassignment NPD
• Kelly Roberts, CNP

  • Adult Health Nurse Practitioner
  • Wooster, OH
  • NPI 1538611934
  Medicare reassignment NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1336256247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 FRIENDSVILLE RD",
            "address_2": "SUITE 2",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917131",
            "telephone_number": "330-202-3444",
            "fax_number": "330-202-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 FRIENDSVILLE RD",
            "address_2": "SUITE 2",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917131",
            "telephone_number": "330-202-3444",
            "fax_number": "330-202-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE INTERNAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "FAST",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-202-3444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2145486",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Andrew Comley, PSY.D.
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• Harley Comtois
• Allison Louise Conner, LPN
• Tasha C Conner
• Kirsten Marie Conrad
• Ryan William Cooke, D.C.

• Internal Medicine Physician in Wooster, OH
• Providers in Wooster, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.