| Comprehensive Internal Medicine, Inc | |
|
3727 Friendsville Rd Suite 2 Wooster OH 44691-7131 | |
| (330) 202-3444 | |
| (330) 202-3435 |
| Full Name | Comprehensive Internal Medicine, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3727 Friendsville Rd, Wooster, Ohio |
| Authorized Official Name and Position | Debra Fast (PRESIDENT) |
| Authorized Official Contact | 3302023444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Internal Medicine, Inc 3727 Friendsville Rd Suite 2 Wooster OH 44691-7131 Ph: (330) 202-3444 | Comprehensive Internal Medicine, Inc 3727 Friendsville Rd Suite 2 Wooster OH 44691-7131 Ph: (330) 202-3444 |
| NPI Number | 1336256247 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 04/01/2020 |
| Medicare PECOS PAC ID | 5395792345 |
|---|---|
| Medicare Enrollment ID | O20050401000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336256247 | NPI | - | NPPES |
| 2145486 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary E Ciesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417971359 PECOS PAC ID: 8921096942 Enrollment ID: I20040506000134 |
| Provider Name | Debra Fast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184624496 PECOS PAC ID: 9739136789 Enrollment ID: I20091104000233 |
| Provider Name | Kathleen Fearon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699775932 PECOS PAC ID: 1658328604 Enrollment ID: I20091104000271 |
| Provider Name | Dana M Bonezzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255331542 PECOS PAC ID: 5193772143 Enrollment ID: I20091104000287 |
| Provider Name | Carolyn E Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612682 PECOS PAC ID: 2769770544 Enrollment ID: I20161011001393 |
| Provider Name | Kelly Renee Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538611934 PECOS PAC ID: 7416237557 Enrollment ID: I20161207002530 |
Family 1st Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3477 Commerce Pkwy, Suite A, Wooster, OH 44691 Phone: 330-345-8410 Fax: 330-345-8458 | |
Paul Nielsen Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Milltown Rd, Suite 105, Wooster, OH 44691 Phone: 330-345-8060 Fax: 330-345-5983 | |
Wooster Family Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3477 Commerce Pkwy, Suite A, Wooster, OH 44691 Phone: 330-601-0999 | |
Wooster Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1740 Cleveland Rd, Wooster, OH 44691 Phone: 330-287-4500 | |
My Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Beall Ave, Wooster, OH 44691 Phone: 330-264-0247 Fax: 330-264-0463 | |
Buckeye Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3477 Commerce Parkway, Suite A, Wooster, OH 44691 Phone: 330-601-0999 Fax: 330-601-0935 | |
Wayne Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 East Milltown Road, Suite 101, Wooster, OH 44691 Phone: 330-262-1700 Fax: 330-345-8980 |