Active NPI
Comprehensive Interventional Care Centers, PLLC
- Foot & Ankle Surgery Podiatrist
- Yuma, AZ
National Provider Identifier
1871223149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
- Practice address
- 2145 W 28TH St Ste B
Yuma, AZ 85364-1219 - Phone
- (928) 328-8338
- Fax
- (928) 328-8339
- NPI assigned
- Jun 10, 2022
- Last updated
- Jun 10, 2022
- 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
- Nichole Fowell
- Title
- Credentialing Manager
- Phone
- (520) 322-6274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
2145 W 28TH St Ste B
Yuma, AZ 85364-1219
Mailing address
PO Box 208313
Dallas, TX 75320-8313
Phone (520) 777-5030
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@ciccenters.com | Direct |
National Provider Directory
National Provider DirectoryLocations
2145 W 28th St
Ste B
Yuma, AZ 85364
Phone (928) 328-8338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654819200000",
"number": "1871223149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208313",
"city": "DALLAS",
"state": "TX",
"postal_code": "753208313",
"telephone_number": "520-777-5030",
"fax_number": "520-509-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 W 28TH ST STE B",
"city": "YUMA",
"state": "AZ",
"postal_code": "853641219",
"telephone_number": "928-328-8338",
"fax_number": "928-328-8339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-10",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A",
"authorized_official_last_name": "FOWELL",
"authorized_official_first_name": "NICHOLE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "520-322-6274"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@ciccenters.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2145 W 28th St Ste B",
"city": "Yuma",
"state": "AZ",
"country_code": "US",
"postal_code": "853641219",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Yuma, AZ
- Community Intervention Associates, Inc. (Community Health Associates)
- Community Medical Services Arizona-Private, LLC (Community Medical Services - Yuma)
- Community Medical Services Arizona-Private, LLC (Community Medical Services Yuma)
- Community Partners Integrated Healthcare, Inc.
- Companion Home Care
- Comprehensive Surgical Care of Yuma, LLC
- Anita Lucero Comstock, GUIDANCE COUNSELOR K
- Ann Conner, FNP
- Rebecca L Conover, COTA
- Consolidated Planning, Recovery, Health & Wellness, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.