Active NPI
Candace Y Covington MD
- Surgery Physician
- Mineral Wells, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- N3581
- Legal business name
- CANDACE Y COVINGTON MD
- Practice address
- 218 SW 26TH Ave
Suite D
Mineral Wells, TX 76067-8251 - Phone
- (940) 325-4925
- Fax
- (940) 325-4955
- NPI assigned
- Nov 19, 2012
- Last updated
- Mar 28, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Candace Y Covington, MD
- Title
- Owner
- Phone
- (940) 325-4925
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | N3581 | TX | Primary |
Addresses
Primary practice location
218 SW 26TH Ave
Suite D
Mineral Wells, TX 76067-8251
Mailing address
218 SW 26TH Ave
Suite D
Mineral Wells, TX 76067-8251
Phone (940) 325-4925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
202 SW 25th Ave
Ste 600
Mineral Wells, TX 76067
Phone (940) 217-5969
218 SW 26th Ave
Ste D
Mineral Wells, TX 76067
Phone (940) 325-2526
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Mineral Wells, TX
- NPI 1295964757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364428800000",
"number": "1497099279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 SW 26TH AVE",
"address_2": "SUITE D",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760678251",
"telephone_number": "940-325-4925",
"fax_number": "940-325-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 SW 26TH AVE",
"address_2": "SUITE D",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760678251",
"telephone_number": "940-325-4925",
"fax_number": "940-325-4955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANDACE Y COVINGTON MD",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-19",
"last_updated": "2013-03-28",
"status": "A",
"authorized_official_last_name": "COVINGTON",
"authorized_official_first_name": "CANDACE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "940-325-4925",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "N3581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineral Wells, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.