Active NPI
Karen B Coville, P.A.
- Medical Physician Assistant
- Aumsville, OR
National Provider Identifier
1336157627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA00240
- Practice address
- 205 Main St.
Aumsville, OR 97325-9018 - Phone
- (503) 749-4734
- Fax
- (503) 749-3745
- NPI assigned
- Aug 3, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00240 | OR | Primary |
Addresses
Primary practice location
205 Main St.
Aumsville, OR 97325-9018
Mailing address
PO Box 139
Aumsville, OR 97325-0139
Phone (503) 749-4734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00240 | OR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santiam Memorial Hospital | Current | Accepting new patients | |
| Santiam Memorial Hospital | Current | Accepting new patients | |
| Santiam Memorial Hospital | Past | Accepting new patients |
Locations
1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546
Interoperability endpoints
- https://api.platform.athenahealth.com/14369/brand/7/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Stayton, OR
- NPI 1154302214
-
dba Aumsville Medical Clinic
- Rural Health Clinic/Center
- Aumsville, OR
- NPI 1013302017
-
dba Santiam Health & Wellness Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stayton, OR
- NPI 1801787171
-
dba Aumsville Medical Clinic
- Primary Care Clinic/Center
- Aumsville, OR
- NPI 1558404103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1336157627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 139",
"city": "AUMSVILLE",
"state": "OR",
"postal_code": "973250139",
"telephone_number": "503-749-4734",
"fax_number": "503-749-3745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MAIN ST.",
"city": "AUMSVILLE",
"state": "OR",
"postal_code": "973259018",
"telephone_number": "503-749-4734",
"fax_number": "503-749-3745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVILLE",
"first_name": "KAREN",
"middle_name": "B",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA00240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aumsville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.