Comprehensive Care Multi-Specialty Physician Organization PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COMPREHENSIVE CARE MULTI-SPECIALTY PHYSICIAN ORGANIZATION PC

Practice address

6400 Brooktree Court.
Suite. 320
Wexford, PA 15090

Phone

(724) 933-5570

Fax

(724) 933-5585

NPI assigned

Sep 28, 2018

Organization subpart

No

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

Authorized official

Name

Chandra R Polam, MD

Title

Physician

Phone

(724) 933-5570

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.

• Julie Hutchison, PA

  • Medical Physician Assistant
  • Philadelphia, PA
  • NPI 1134757156
  NPD (past)

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1831674571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 BROOKTREE CT STE 320",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909271",
            "telephone_number": "724-933-5570",
            "fax_number": "724-933-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BROOKTREE COURT.",
            "address_2": "SUITE. 320",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "15090",
            "telephone_number": "724-933-5570",
            "fax_number": "724-933-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARE MULTI-SPECIALTY PHYSICIAN ORGANIZATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "POLAM",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-933-5570",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenine Cole
• Kari E Cole
• Michael H Coleman, DO
• Lawrence Collins, M.D.
• Colonnades Family Medicine LLC
• Comprehensive Family Dentistry
• Congruence Counseling, LLC
• Mark Conklin, PHARMD
• Eileen F Conley-Ferris, COTA
• Monica Conn, DNP, CRNP

• Internal Medicine Physician in Wexford, PA
• Providers in Wexford, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.