Organization
COMPREHENSIVE SURGICAL SPECIALISTS LLC
Active
Organization
COMPREHENSIVE SURGICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN POMPONI D.O (MANAGER)
(219) 662-2279
Entity
Organization
Contact information
Practice address
333 W 89TH AVE STE W5, MERRILLVILLE, IN 46410-7050
(219) 662-2279
(219) 662-2123
Mailing address
333 W 89TH AVE STE W5, MERRILLVILLE, IN 46410-7050
(219) 662-2279
(219) 662-2123
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208600000X
Surgery Physician
—
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
—
IN
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200937600A
—
IN
01
—
26749006
MEDICARE
IN
Enumeration date
07/30/2008
Last updated
10/10/2022
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