Active NPI
Comprehensive Medical Services, LLC
- Hospice and Palliative Medicine (Surgery) Physician
- Baltimore, MD
National Provider Identifier
1568046837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Surgery) Physician
- Legal business name
- COMPREHENSIVE MEDICAL SERVICES, LLC
- Practice address
- 3801 Canterbury Rd Unit 711
Baltimore, MD 21218-2376 - Phone
- (202) 861-2971
- NPI assigned
- May 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Ashely Collis Johnson, MD
- Title
- President
- Phone
- (202) 861-2971
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | |||
| Surgery Physician | 208600000X | |||
| Hospice and Palliative Medicine (Surgery) Physician | 2086H0002X | Primary |
Addresses
Primary practice location
3801 Canterbury Rd Unit 711
Baltimore, MD 21218-2376
Mailing address
3801 Canterbury Rd Unit 711
Baltimore, MD 21218-2376
Phone (202) 861-2971
Other names 1
- Comprehensive Medical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
815 NW 57th Ave
Ste 315
Miami, FL 33126
101 Theall Rd
Rye, NY 10580
Phone (516) 536-0800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1568046837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 CANTERBURY RD UNIT 711",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182376",
"telephone_number": "202-861-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 CANTERBURY RD UNIT 711",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182376",
"telephone_number": "202-861-2971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE MEDICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-12",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "ASHELY COLLIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "202-861-2971",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086H0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
- Complete Wellness Addiction Center Incorporated
- Complete Wellness Recovery, Inc
- Complete Wellness, Inc.
- Complete Wellness, Inc.
- Complete Wellness, Inc.
- Comprehensive Primary Care and Associates, LLC
- Comprehensive Recovery Program
- Comprehensive Rehab Consultants PLLC
- Comprehensive Rehab Consultants PLLC
- Comprehensive Spine & Sports Center, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.