Active NPI
Caryn Suzanne Kovar, PA-C
- Physician Assistant
- Saint Ignace, MI
National Provider Identifier
1225239098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002664
- Practice address
- 1140 N State St
Saint Ignace, MI 49781-1048 - Phone
- (906) 643-8585
- NPI assigned
- May 30, 2007
- Last updated
- Oct 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002664 | MI | Primary |
Addresses
Primary practice location
1140 N State St
Saint Ignace, MI 49781-1048
Mailing address
PO Box 280
Engadine, MI 49827-0280
Phone (906) 477-6845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601002664 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mackinac Straits Health System Inc | Current | Accepting new patients |
Locations
1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466
Interoperability endpoints
- carynkovar@mshs.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mackinac Straits Hospital and Health Center
- Critical Access Hospital
- Saint Ignace, MI
- NPI 1124283502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1225239098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280",
"city": "ENGADINE",
"state": "MI",
"postal_code": "498270280",
"telephone_number": "906-477-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 N STATE ST",
"city": "SAINT IGNACE",
"state": "MI",
"postal_code": "497811048",
"telephone_number": "906-643-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVAR",
"first_name": "CARYN",
"middle_name": "SUZANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Ignace, MI
- Krysta Danyell Hinman, O.D.
- Timothy D Hoffmann, M.D.
- Annemarie Horn
- Linda Dey Inhelder, RD
- Carrie Melissa King
- Stephanie Ann Kurburski, MSW
- Stephanie Lynn Lash
- Alice Lindsey, M.D.
- Mackinac Straits Health System (Mackinac Straits Hospital Pharmacy)
- Mackinac Straits Health System Inc (St. Ignace Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.