Comprehensive ENT P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301029955 Issued in MI

Legal business name

COMPREHENSIVE ENT P.C.

Practice address

516 Linn St
Allegan, MI 49010-1525

Phone

(616) 396-2325

Fax

(616) 396-2325

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jack Wiley Delong, M.D.

Title

Ceo

Phone

(616) 396-2325

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1922278977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 24TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234791",
            "telephone_number": "616-396-2325",
            "fax_number": "616-396-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101525",
            "telephone_number": "616-396-2325",
            "fax_number": "616-396-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE ENT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "WILEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-396-2325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301029955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerris Cole
• Cara Dayne Coleman, LPC
• Thomas D. Collins, M.D.
• Marie M Combs
• Communication Haven, LLC
• Brittany Conway, LLPC
• Kevin Maynard Cooper, FNP-C
• Corlett & Mintek PLLC
• County of Allegan
• David P and Mona E Ruse

• Otolaryngology Physician in Allegan, MI
• Providers in Allegan, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.