Organization Active NPI

The Covenant Group PA

  • Emergency Medicine Physician
  • Leavenworth, KS
National Provider Identifier
1922076918
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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

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
Dr. Mark S Holcomb, MD
Title
Partner
Phone
(913) 469-4244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.