Individual provider Active NPI

Karen B Coville, P.A.

  • Medical Physician Assistant
  • Aumsville, OR
National Provider Identifier
1336157627
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00240 Issued in OR
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

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000690 OR Practitioner - Physician Assistant 8426063355 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00240ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Santiam Memorial Hospital CurrentSince Mar 1, 2005 Accepting new patients
Santiam Memorial Hospital CurrentSince Mar 1, 2005 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.