Organization Active NPI

Richard Covey, MD, PC

  • Primary Care Clinic/Center
  • Prescott, AZ
National Provider Identifier
1346577632
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
28184 Issued in AZ
Legal business name
RICHARD COVEY, MD, PC
Practice address
3155 Stillwater Dr
Suite B
Prescott, AZ 86305-7172
Phone
(928) 777-8000
Fax
(928) 777-8104
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Dr. Richard Covey, M.D.NPI 1265421101
Title
Ceo
Phone
(928) 777-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 28184 AZ Primary

Addresses

Primary practice location

3155 Stillwater Dr
Suite B
Prescott, AZ 86305-7172

Mailing address

3155 Stillwater Dr
Suite B
Prescott, AZ 86305-7172
Phone (928) 777-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091123000724 AZ Part B Supplier - Clinic/Group Practice 4880733351 Receives reassigned benefits from 1 practitioner
Practice locations: Prescott, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1041611Richard Covey, MD, PC3155 Stillwater Drive, Ste B, Prescott, AZ 86305Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory

Locations

3155 Stillwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 772-8000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1346577632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 STILLWATER DR",
            "address_2": "SUITE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057172",
            "telephone_number": "928-777-8000",
            "fax_number": "928-777-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 STILLWATER DR",
            "address_2": "SUITE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057172",
            "telephone_number": "928-777-8000",
            "fax_number": "928-777-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD COVEY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "COVEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-777-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "28184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.