Active NPI
Comprehensive Med Care
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1871657577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMPREHENSIVE MED CARE
- Practice address
- 328 W Godfrey Ave
Philadelphia, PA 19120 - Phone
- (215) 549-1100
- Fax
- (215) 549-8074
- NPI assigned
- Dec 20, 2006
- 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
- Mrs. Marlene M Finnegan
- Title
- Office Manager
- Phone
- (215) 548-1952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
328 W Godfrey Ave
Philadelphia, PA 19120
Mailing address
328 W Godfrey Ave
Philadelphia, PA 19120
Phone (215) 549-1100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 422531 | Other | PA | BS |
| 0060273001 | Other | PA | KEYSTONE |
| 0012090100001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1760599872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481846400000",
"number": "1871657577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 W GODFREY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19120",
"telephone_number": "215-549-1100",
"fax_number": "215-549-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 W GODFREY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19120",
"telephone_number": "215-549-1100",
"fax_number": "215-549-8074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE MED CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2016-12-16",
"status": "A",
"authorized_official_last_name": "FINNEGAN",
"authorized_official_first_name": "MARLENE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "215-548-1952",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "422531",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0060273001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012090100001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Complete Wellness Physical Therapy LLC
- Complete Wellness Rehabilitation, LLC
- Complimentary Health Inc
- Comprehensive Compression Therapies, LLC
- Comprehensive Counseling Services PC
- Comprehensive Medical Supplies
- Comprehensive Podiatric Care Center PC
- Comprehensive Renal Care, PC
- Briana Caitlin Compton, PHARMD
- Courtney Compton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.