COMPREHENSIVE INTERNAL MEDICINE, INC
NPI 1336256247
Internal Medicine in Wooster, OH
NPI Status: Active since August 24, 2006
Contact Information
3727 FRIENDSVILLE RD
SUITE 2
WOOSTER, OH
ZIP 44691
Phone: (330) 202-3444
Fax: (330) 202-3435
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 36D0966697
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-01-2025
About COMPREHENSIVE INTERNAL MEDICINE, INC
This page provides the complete NPI Profile along with additional information for Comprehensive Internal Medicine, Inc, an internist established in Wooster, Ohio operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1336256247 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Debra Fast Do (President)
- NPI
- 1336256247
- Provider Name
- COMPREHENSIVE INTERNAL MEDICINE, INC
- Entity Type
- Organization
- Location Address
- 3727 FRIENDSVILLE RD SUITE 2 WOOSTER, OH 44691
- Location Phone
- (330) 202-3444
- Location Fax
- (330) 202-3435
- Mailing Address
- 3727 FRIENDSVILLE RD SUITE 2 WOOSTER, OH 44691
- Mailing Phone
- (330) 202-3444
- Mailing Fax
- (330) 202-3435
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-24-2006
- Last Update Date
- 04-01-2020
- Code Navigator
An internist like Comprehensive Internal Medicine, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5400 for HSA - HMO
- Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2145486 | MEDICAID (05) | OH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D0966697
- Facility Type
- Physician Office
- Certificate Effective Date
- July 02, 2023
- Certificate Expiration Date
- July 01, 2025
- Laboratory Director
- DEBRA FAST DO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Comprehensive Internal Medicine, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 2 | 5 | 6 | 2 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 4 | 5 | 12 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 4 + 5 + 1 + 2 + 2 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1336256247 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
DR. WILLIAM J SKELLY M.D.
Orthopaedic Surgery
3727 FRIENDSVILLE RD
SUITE 2
WOOSTER, OH
ZIP 44691
DR. OWEN W LOGEE M.D.
Orthopaedic Surgery
3727 FRIENDSVILLE RD
SUITE 2
WOOSTER, OH
ZIP 44691
THE ARTHRITIS CLINIC LLC
Internal Medicine
(Rheumatology)
3727 FRIENDSVILLE RD
SUITE 3
WOOSTER, OH
ZIP 44691
DR. ERIC BRIAN GRAHAM DPT
Physical Therapist
3727 FRIENDSVILLE RD
WOOSTER, OH
ZIP 44691
DIANE JACKSON COTA
Occupational Therapist
3727 FRIENDSVILLE RD
WOOSTER, OH
ZIP 44691
ANNE MARIE CHICORELLI D.O.
Orthopaedic Surgery
3727 FRIENDSVILLE RD
SUITE 5
WOOSTER, OH
ZIP 44691
DR. KATIE BROOKE DOSSI DC
Chiropractor
3727 FRIENDSVILLE RD
SUITE 1
WOOSTER, OH
ZIP 44691
STEVEN WYLES PA-C
Physician Assistant
3727 FRIENDSVILLE RD
SUITE 6
WOOSTER, OH
ZIP 44691
KATHLEEN K FEARON DO
Internal Medicine
3727 FRIENDSVILLE RD
SUITE 2
WOOSTER, OH
ZIP 44691
DEBRA A FAST DO
Internal Medicine
3727 FRIENDSVILLE RD
SUITE2
WOOSTER, OH
ZIP 44691
DANA M BONEZZI MD
Internal Medicine
3727 FRIENDSVILLE RD
SUITE 2
WOOSTER, OH
ZIP 44691
MARCUS NEWTON D.O.
Orthopaedic Surgery
3727 FRIENDSVILLE RD
SUITE 5
WOOSTER, OH
ZIP 44691
MRS. PADMA VELLANKI M.D.
Internal Medicine
(Rheumatology)
3727 FRIENDSVILLE RD
SUITE 3
WOOSTER, OH
ZIP 44691
WOOSTER COMMUNITY HOSPITAL
Rehabilitation Hospital
3727 FRIENDSVILLE RD
WOOSTER, OH
ZIP 44691
REBECCA L EBERT MS, CCC-SLP
Speech-Language Pathologist
3727 FRIENDSVILLE RD
WOOSTER, OH
ZIP 44691
CITY OF WOOSTER
Home Health
3727 FRIENDSVILLE RD
SUITE 4
WOOSTER, OH
ZIP 44691
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336256247, enumerated in the NPI registry as an "organization" on August 24, 2006
The provider is located at 3727 Friendsville Rd Suite 2 Wooster, Oh 44691 and the phone number is (330) 202-3444
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 36D0966697 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on August 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.
