Marvin D Covrig MD a Professional Medical Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G66650 Issued in CA

Legal business name

MARVIN D COVRIG MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

817 Coffee Road
Modesto, CA 95355

Phone

(209) 526-4500

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Marvin Daniel Covrig, MD

Title

President

Phone

(209) 529-9603

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael C NG, M.D.

  • Anesthesiology Physician
  • Modesto, CA
  • NPI 1922011279
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1932274073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COFFEE ROAD",
            "address_2": "C3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-529-9603",
            "fax_number": "209-529-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COFFEE ROAD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-526-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN D COVRIG MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "COVRIG",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-529-9603",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G66650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G666501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Flores Martinez, LVN
• Victor Martinez
• Sandra Martinho-Goines
• Marty R Lipsey DDS Ms Inc
• Nicole Maruyama
• Nicole Mascorro
• Julia Jeanne Masellis
• Carole Mason-Loux
• Deborah Mason, RRT
• Gina Marie Mason, MA CCC-SLP

• Anesthesiology Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.