NPIMap

Organization Active NPI

Covenant Medical Group

  • Occupational Medicine Physician
  • Saginaw, MI
National Provider Identifier
1194076422
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
COVENANT MEDICAL GROUP
Practice address
600 Irving Ave
Saginaw, MI 48602-5375
Phone
(989) 583-6130
Fax
(989) 583-6003
NPI assigned
Sep 26, 2012
Last updated
Sep 26, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
COVENANT MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Mr. David F Albrough
Title
Director of Patient Administration
Phone
(989) 583-6100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Occupational Medicine Physician 2083X0100X NU Primary

Addresses

Primary practice location

600 Irving Ave
Saginaw, MI 48602-5375

Mailing address

600 Irving Ave
Saginaw, MI 48602-5375
Phone (989) 583-6130

Other names 1

  • Covenant Occupational Health and Wellness Other name

National Provider Directory

National Provider Directory
Tax ID family
Covenant Medical Group8 organizations share this tax ID, including this one
Part of
Priti Pathak MD

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1194076422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 IRVING AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025375",
            "telephone_number": "989-583-6130",
            "fax_number": "989-583-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 IRVING AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025375",
            "telephone_number": "989-583-6130",
            "fax_number": "989-583-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT MEDICAL CENTER, INC",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "ALBROUGH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ADMINISTRATION",
        "authorized_official_telephone_number": "989-583-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Occupational Health and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.