COMPREHENSIVE MEDICAL GROUP, LLC (NPI# 1093014748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093014748 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE MEDICAL GROUP, LLC |
| Practice Address |
40 Dale Rd Suite 103 Avon CT 06001-3692 |
| Practice Telephone | 8606733737 |
| Practice Fax Number | 8606750640 |
| Mailing Telephone | 8606733737 |
| Mailing Fax Number | 8606750640 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-11-15 |
| Authorized Official Name | MARY E. AMATO (PRACTICE MANAGER) |
| Authorized Official Telephone | 8606733737 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
002626 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MARY LEAHY, APRN NPI | 1669496113 | 01 |
| CT | DR. LALRUKH MUFTI NPI | 1942352794 | 01 |
| Street Address |
40 DALE RD SUITE 103 |
| City | AVON |
| State | CT |
| Zip Code | 06001-3692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093789745 | Linda Preysner | Internal Medicine | 40 Dale Rd, Suite 202, Avon, CT 06001-3692 | 2006-02-16 |
| 1851807218 | Komarow Dental PC | Clinic/Center | 40 Dale Rd, Avon, CT 06001-3692 | 2017-12-21 |
| 1811280332 | Sarah Anacleto | Counselor | 40 Dale Rd, Avon, CT 06001-3692 | 2011-05-17 |
| 1649573106 | Stephanie Lynn Poole | Speech-Language Pathologist | 40 Dale Rd, Avon, CT 06001-3692 | 2010-12-06 |
| 1376867580 | Nutmeg Medical Group, LLC | Internal Medicine | 40 Dale Rd, Suite 202, Avon, CT 06001-3692 | 2010-03-16 |
| 1609067503 | Jefferson Radiology, PC | Nuclear Medicine | 40 Dale Rd, Avon, CT 06001-3692 | 2007-08-06 |
| 1508070343 | Kristie L Riley | Counselor | 40 Dale Rd, Avon, CT 06001-3692 | 2007-05-10 |
| 1942352794 | Lalarukh Mufti | Family Medicine | 40 Dale Rd, Suite 103, Avon, CT 06001-3692 | 2007-01-18 |
| 1962582718 | Gregory J Bombassei | Internal Medicine | 40 Dale Rd, Suite 202, Avon, CT 06001 | 2006-10-16 |
| 1063506723 | Naomi J Neuwirth | Social Worker | 40 Dale Rd, Suite 201, Avon, CT 06001 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040093 | Maria Pihlblad | Nurse Practitioner | 39265 Arlington Dr, Avon, OH 44011-4781 | 2020-07-07 |
| 1861975658 | Tonya Erdle | Nurse Practitioner | 39 Fisk Pl, Avon, NY 14414-1213 | 2018-09-08 |
| 1336669886 | Rachel L Hickman | Nurse Practitioner | 850 West Beaver Creek Blvd, Avon, CO 81620-9201 | 2017-06-26 |
| 1730609447 | Amber Eades | Nurse Practitioner | 1111 Ronald Reagan Pkwy Ste B-1500, Avon, IN 46123-7085 | 2017-06-23 |
| 1467999151 | Jaime M Hopper | Nurse Practitioner | 7828 Village Green Dr, Avon, IN 46123-7228 | 2017-01-19 |
| 1568829059 | Jessica Ryan Springer | Nurse Practitioner | 36130 N Park Dr, Avon, OH 44011 | 2016-01-28 |
| 1386000479 | Danielle Pfeffer | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 283, Avon, IN 46123-6914 | 2016-01-06 |
| 1710284526 | Jennifer Ann Barnes | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 141, Avon, IN 46123-6913 | 2011-02-15 |
| 1609185206 | Melanie Marie Block-thralls | Nurse Practitioner | 10706 East Us Highway 36, Avon Urgent Care, Avon, IN 46123 | 2010-09-29 |
| 1811164593 | Kathy Gretton | Nurse Practitioner | 1675 Rosewood Dr, Avon, IN 46123-6552 | 2008-05-13 |
| Find all providers in AVON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.