Active NPI
The Covenant Group PA
- Emergency Medicine Physician
- Leavenworth, KS
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
- Last updated
- Aug 22, 2020
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
3400 S 4th St
Leavenworth, KS 66048
Phone (913) 334-4110
10975 Benson Dr
Overland Park, KS 66210
Phone (913) 469-1488
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Emergency Medicine Physician
- Overland Park, KS
- NPI 1578547790
-
- Emergency Medicine Physician
- Overland Park, KS
- NPI 1841292497
-
- 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.