Organization Active NPI

Covenant Physician Services LTD

  • Family Medicine Physician
  • London, OH
National Provider Identifier
1528257607
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35078214 Issued in OH
Legal business name
COVENANT PHYSICIAN SERVICES LTD
Practice address
214 Elm St
London, OH 43140-2131
Phone
(740) 852-4100
Fax
(740) 852-4170
NPI assigned
Oct 15, 2007
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Debbie L Toppins
Title
Office Manager
Phone
(740) 852-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35078214 OH Primary

Addresses

Primary practice location

214 Elm St
London, OH 43140-2131

Mailing address

214 Elm St
London, OH 43140-2131

Other identifiers 1

IdentifierTypeStateIssuer
2324112MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1528257607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ELM ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431402131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ELM ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431402131",
            "telephone_number": "740-852-4100",
            "fax_number": "740-852-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PHYSICIAN SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "TOPPINS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-852-4100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35078214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2324112",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.