Individual provider Active NPI

Angela Giron Covington, MD

  • Dermatology Physician
  • Hamilton, MT
National Provider Identifier
1386806461
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
77094 Issued in MT
Practice address
1103 Westwood Dr
Hamilton, MT 59840-2342
Phone
(406) 375-2949
Fax
(406) 375-4954
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD157885 OR
Dermatology Physician 207N00000X MEDS8181 AK
Dermatology Physician 207N00000X 77094 MT Primary

Addresses

Primary practice location

1103 Westwood Dr
Hamilton, MT 59840-2342

Mailing address

1200 Westwood Dr
Hamilton, MT 59840-2345

Other identifiers 5

IdentifierTypeStateIssuer
1386806461OtherAKMEDICARE RAILROAD
500648663MedicaidOR
1618151MedicaidAK
P01098834OtherORMEDICARE RAILROAD
P01395059OtherAKMEDICARE PTAN

Other names 1

  • Ms. Angela Mai-Linh Giron Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ANGELACOVINGTONMDMHCERNERDIRECTCOM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316002782 MT Practitioner - Dermatology 2163679556 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MEDS8181AKMDDermatology Physician
77094MTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corp CurrentSince Oct 1, 2019 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Oct 1, 2019 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Oct 1, 2019 Accepting new patients
Marcus Daly Memorial Hospital Corp Dermatology PastSince Oct 5, 2021 Accepting new patients

Locations

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

3975 US Highway 93 N
Stevensville, MT 59870
Phone (406) 375-4824

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1386806461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402342",
            "telephone_number": "406-375-2949",
            "fax_number": "406-375-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "ANGELA",
        "middle_name": "GIRON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD157885",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AK",
            "license": "MEDS8181",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "77094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "1386806461",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500648663",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1618151",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01098834",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P01395059",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ANGELACOVINGTONMDMHCERNERDIRECTCOM",
            "affiliation": "N",
            "address_1": "1103 Westwood Dr",
            "city": "Hamilton",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598402342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GIRON",
            "middle_name": "MAI-LINH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.