Active NPI
The Covenant Group PA
- Emergency Medicine Physician
- Leavenworth, KS
National Provider Identifier
1922076918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- THE COVENANT GROUP PA
- Practice address
- 3400 S 4TH St
Leavenworth, KS 66048-5012 - Phone
- (913) 680-6100
- Fax
- (913) 680-6156
- NPI assigned
- Mar 8, 2006
- Reactivated
- May 25, 2007
- 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. Mark S Holcomb, MD
- Title
- Partner
- Phone
- (913) 469-4244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
3400 S 4TH St
Leavenworth, KS 66048-5012
Mailing address
10975 Benson St
Overland Park, KS 66210-2133
Phone (913) 469-4244
Other names 1
- St John Hospital
National Provider Directory
National Provider DirectoryLocations
10975 Benson Dr
Overland Park, KS 66210
Phone (913) 469-1488
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Overland Park, KS
- NPI 1013006527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922076918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10975 BENSON ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102133",
"telephone_number": "913-469-4244",
"fax_number": "913-469-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 S 4TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485012",
"telephone_number": "913-680-6100",
"fax_number": "913-680-6156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE COVENANT GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-08",
"last_updated": "2020-08-22",
"deactivation_date": "2007-03-21",
"reactivation_date": "2007-05-25",
"status": "A",
"authorized_official_last_name": "HOLCOMB",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "913-469-4244",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St John Hospital",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Leavenworth, KS
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.