Active NPI
Frederick V Coville, MD
- Orthopaedic Surgery Physician
- Englewood, CO
National Provider Identifier
1336184886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 22413
- Practice address
- 799 E Hampden Ave
Suite 400
Englewood, CO 80113-2766 - Phone
- (303) 789-2663
- Fax
- (303) 788-4871
- NPI assigned
- Jun 18, 2006
- Last updated
- Apr 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | 22413 | CO | Primary |
Addresses
Primary practice location
799 E Hampden Ave
Suite 400
Englewood, CO 80113-2766
Mailing address
4900 S Monaco St
#210
Denver, CO 80237-3486
Phone (303) 789-2663
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01224138 | Medicaid | CO | |
| 1245556091 | Medicaid | NE | |
| 129802000 | Medicaid | WY | |
| 100229640E | Medicaid | KS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22413 | CO | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1336184886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 S MONACO ST",
"address_2": "#210",
"city": "DENVER",
"state": "CO",
"postal_code": "802373486",
"telephone_number": "303-789-2663",
"fax_number": "303-788-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 E HAMPDEN AVE",
"address_2": "SUITE 400",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132766",
"telephone_number": "303-789-2663",
"fax_number": "303-788-4871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVILLE",
"first_name": "FREDERICK",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "22413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01224138",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245556091",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129802000",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100229640E",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.