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NPI Code Detail

MEDICARE: CATHY J. COMERCI DO

MEDICARE: CATHY J. COMERCI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician34.007042OH
2207Q00000XFamily Medicine Physician1169WV
3207Q00000XFamily Medicine Physician34.007042OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205824687
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY J. COMERCI DO
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 740-335-1210
Fax Number :
Provider Business Practice Location Address
First Line : 1430 COLUMBUS AVE
Second Line :
City : WASHINGTON COURT HOUSE
State : OH
Zip : 43160-1703
Country : US
Telephone Number : 740-335-1210
Fax Number : 740-551-9440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 05/16/2025

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Directions to “ CATHY J. COMERCI DO” Practice Location

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