Organization Active NPI

Cove Family Practice, Inc.

  • Family Medicine Physician
  • Roaring Spring, PA
National Provider Identifier
1023081429
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COVE FAMILY PRACTICE, INC.
Practice address
111 Nason Dr
Ste 101
Roaring Spring, PA 16673-1212
Phone
(814) 224-5132
Fax
(814) 224-2903
NPI assigned
Feb 8, 2006
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Darron B Locke, MDNPI 1073507943
Title
Owner
Phone
(814) 224-5132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

111 Nason Dr
Ste 101
Roaring Spring, PA 16673-1212

Mailing address

111 Nason Dr
Ste 101
Roaring Spring, PA 16673-1212
Phone (814) 224-5132

Other identifiers 1

IdentifierTypeStateIssuer
0015716860011MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050425000122 PA Part B Supplier - Clinic/Group Practice 6406894906 Receives reassigned benefits from 6 practitioners
Practice locations: Hollidaysburg, PA; Roaring Springs, PA; Martinsburg, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0914456Cove Family Practice Inc111 Nason Drive Suite 101, Roaring Spring, PA 16673Provider-performed microscopyApr 30, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCBFBA

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1023081429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NASON DR",
            "address_2": "STE 101",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731212",
            "telephone_number": "814-224-5132",
            "fax_number": "814-224-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NASON DR",
            "address_2": "STE 101",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166731212",
            "telephone_number": "814-224-5132",
            "fax_number": "814-224-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVE FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "DARRON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-224-5132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015716860011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roaring Spring, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.