Comprehensive Family Practice PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS011926 Issued in PA

Legal business name

COMPREHENSIVE FAMILY PRACTICE PC

Practice address

102 Route 611 Ste 2
Bartonsville, PA 18321-9439

Phone

(570) 619-0080

Fax

(570) 476-6213

NPI assigned

Mar 5, 2007

Last updated

Sep 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yelena Kipervas, MDNPI 1821127721

Title

Owner

Phone

(570) 421-8196

Specialties & licenses 1

Addresses

Locations

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.

• Yelena Kipervas, MD

  • Family Medicine Physician
  • Stroudsburg, PA
  • NPI 1821127721
  Authorized official Same address or phone

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1356470231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602404",
            "telephone_number": "570-421-8196",
            "fax_number": "570-476-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ROUTE 611 STE 2",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183219439",
            "telephone_number": "570-619-0080",
            "fax_number": "570-476-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "KIPERVAS",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-421-8196",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS011926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Burns
• Kanisha S. Campbell, DMD
• Tanya Marie Cheeseman, DMD
• Chris Peechatka Corrective Chiropractic PC
• Charles FM Cohan, DO FACP
• Dr. Ross Wezmar DDS PC (Smiles 4 Keeps Children's Dentistry)
• Robert Joseph Farnell, L.M.T.
• Daniel Robert Fegely, DO
• Jessica Lynn Fenner, PA-C
• Mariama Foray, RN

• General Practice Physician in Bartonsville, PA
• Providers in Bartonsville, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.