Organization Active NPI

Covenant Family Medicine

  • Family Medicine Physician
  • Hermitage, PA
National Provider Identifier
1649247255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COVENANT FAMILY MEDICINE
Practice address
3110 Highland Rd
Suite 203
Hermitage, PA 16148-4505
Phone
(724) 981-0825
Fax
(724) 981-4074
NPI assigned
Mar 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lori A Irwin
Title
Office Manager
Phone
(724) 981-0825

Specialties & licenses 1

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

Addresses

Primary practice location

3110 Highland Rd
Suite 203
Hermitage, PA 16148-4505

Mailing address

3110 Highland Rd
Suite 203
Hermitage, PA 16148-4505
Phone (724) 981-0825

Other identifiers 2

IdentifierTypeStateIssuer
265526OtherKYHEALTH AMERICA/HEALTH ASS
DB2902OtherPARAIL ROAD/ MEDICARE

National Provider Directory

National Provider Directory

Locations

3110 Highland Rd
Hermitage, PA 16148
Phone (724) 981-0825

480 N Kerrwood Dr
Hermitage, PA 16148
Phone (724) 981-0823

Practitioners & affiliated clinicians

Practitioners 5

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": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649247255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 HIGHLAND RD",
            "address_2": "SUITE 203",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484505",
            "telephone_number": "724-981-0825",
            "fax_number": "724-981-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 HIGHLAND RD",
            "address_2": "SUITE 203",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484505",
            "telephone_number": "724-981-0825",
            "fax_number": "724-981-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-981-0825",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASS",
            "identifier": "265526",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD/ MEDICARE",
            "identifier": "DB2902",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.