Healthcare Provider Details

I. General information

NPI: 1568046837
Provider Name (Legal Business Name): COMPREHENSIVE MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 F ST NW STE 802B
WASHINGTON DC
20037-2715
US

IV. Provider business mailing address

2112 F ST NW STE 802B
WASHINGTON DC
20037-2715
US

V. Phone/Fax

Practice location:
  • Phone: 202-297-1978
  • Fax: 202-861-8040
Mailing address:
  • Phone: 202-297-1978
  • Fax: 202-861-8040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code2086H0002X
TaxonomyHospice and Palliative Medicine (Surgery) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JONATHAN ASHELY COLLIS JOHNSON
Title or Position: PRESIDENT
Credential: MD
Phone: 202-297-1978