Frederick Vincent Covillo, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

R9069 Issued in MO

Practice address

3401 Faraon St
Saint Joseph, MO 64506-5101

Phone

(816) 387-2158

Fax

(816) 232-4250

NPI assigned

Feb 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1376721159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645065101",
            "telephone_number": "816-387-2158",
            "fax_number": "816-232-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645065101",
            "telephone_number": "816-387-2158",
            "fax_number": "816-232-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVILLO",
        "first_name": "FREDERICK",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R9069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Covenant Care LLC
• Covenant Compassionate Care Inc.
• Covenant Compassionate Care, Inc.
• Covenant in Home Care LLC
• Covenant Optimized Living LLC
• Dorothy Louise Cox, F.N.P.
• Andrea Haydn Coy
• Carissa Janel Crabb, L.C.S.W.
• Mirranda Crane
• Melissa Cranfield, AGNP-C

• General Practice Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.