Organization Active NPI

Comprehensive Breast Center, LLC

  • Surgery Physician
  • Lewes, DE
National Provider Identifier
1386105666
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
COMPREHENSIVE BREAST CENTER, LLC
Practice address
34434 King Street Row Ste 2
Lewes, DE 19958-4987
Phone
(302) 444-0194
Fax
(302) 200-9131
NPI assigned
Mar 28, 2019
Last updated
Nov 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
M. Lisa Attebery, DONPI 1649385626
Title
Owner
Phone
(302) 444-0194

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

34434 King Street Row Ste 2
Lewes, DE 19958-4987

Mailing address

19409 Plantation Rd Ste 3
Rehoboth Beach, DE 19971-4413
Phone (302) 444-0194

Other practice location 1

19409 Plantation Rd Ste 3
Rehoboth Beach, DE 19971-4413
Phone (302) 444-0194

National Provider Directory

National Provider Directory

Locations

19409 Plantation Rd
Unit 2
Rehoboth Beach, DE 19971

19409 Plantation Rd
Unit 3
Rehoboth Beach, DE 19971
Phone (302) 291-2939

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1386105666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19409 PLANTATION RD STE 3",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714413",
            "telephone_number": "302-444-0194",
            "fax_number": "302-200-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34434 KING STREET ROW STE 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584987",
            "telephone_number": "302-444-0194",
            "fax_number": "302-200-9131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19409 Plantation Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714413",
            "country_code": "US",
            "telephone_number": "302-444-0194",
            "fax_number": "302-200-9131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE BREAST CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "ATTEBERY",
        "authorized_official_first_name": "M. LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-444-0194",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.