Compass Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

043501 Issued in CT

Legal business name

COMPASS MEDICAL GROUP, LLC

Practice address

34 Chipping Stone CT
Cheshire, CT 06410-1704

Phone

(203) 623-8864

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay D Kenkare, M.D.

Title

Physician

Phone

(203) 623-8864

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1992905822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CHIPPING STONE CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101704",
            "telephone_number": "203-623-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CHIPPING STONE CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101704",
            "telephone_number": "203-623-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "KENKARE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-623-8864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen S Colleary, PH.D.
• Juanita D Collier, OD
• Rachel Colman, M.D
• Kevin Colwell, PH.D.
• Compass Counseling Services
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• Internal Medicine Physician in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.