Guy J. Kovacevich, MD, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

30110 Issued in CO

Legal business name

GUY J. KOVACEVICH, MD, PC

Practice address

142 Beaver Creek Place
Avon, CO 81620

Phone

(970) 949-5434

Fax

(970) 949-0376

NPI assigned

Sep 30, 2010

Last updated

Sep 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Guy J Kovacevich, MDNPI 1376629428

Title

Owner/President

Phone

(970) 949-5434

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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.

• Guy J. Kovacevich, MD

  • Family Medicine Physician
  • Avon, CO
  • NPI 1376629428
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1063721603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2819",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816202819",
            "telephone_number": "970-949-5434",
            "fax_number": "970-949-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BEAVER CREEK PLACE",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "970-949-5434",
            "fax_number": "970-949-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY J. KOVACEVICH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "KOVACEVICH",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "970-949-5434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "30110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "30110",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry J. Goetze, PH.D.
• Elyssa Goldstein, DO
• Monica Grafals, M.D.
• Stewart Leslie Greisman, D.O.
• Marta Gruntmane, PA-C
• Kathleen Sarah Gwin, PT
• Jacquelyn Lee Hammel, RN, BSN, MPH
• Eileen Jennings Hancock
• James J Harding, DDS
• Mary Elizabeth Harper, PHARMD

• General Practice Physician in Avon, CO
• Providers in Avon, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.