COVENANT MEDICAL GROUP (NPI# 1477814093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477814093 |
| Entity Type | Organization |
| Organization Name | COVENANT MEDICAL GROUP |
| Other Organization Name | COVENANT MEDICAL GROUP SPECIALISTS |
| Practice Address |
1447 N Harrison St Saginaw MI 48602-4727 |
| Practice Telephone | 9895834011 |
| Practice Fax Number | 9895832811 |
| Mailing Telephone | 9895834011 |
| Mailing Fax Number | 9895832811 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |
| Authorized Official Name | MR. DAVID F ALBROUGH (DIRECTOR PATIENT ADMINISTRATION) |
| Authorized Official Telephone | 9895836011 |
| Is Organization Subpart | Y |
| Parent Organization Name | COVENANT MEDICAL CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Covenant Medical Group Specialists | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194076422 | Covenant Medical Group | Family Medicine | 600 Irving Ave, Saginaw, MI 48602-5375 | 2012-09-26 |
| 1376598904 | Covenant Medical Group | Surgery | 2215 Nashville Ave, Lubbock, TX 79410-1105 | 2006-05-23 |
| 1417381187 | Covenant Medical Group | Clinic/Center | 1910 Quaker Avenue, Suite 101, Lubbock, TX 79407 | 2013-08-29 |
| 1538412895 | Covenant Medical Group | Family Medicine | 409 8th St, Abernathy, TX 79311-3416 | 2012-10-23 |
| 1528320967 | Covenant Medical Group | Pediatrics | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2012-06-12 |
| 1215298930 | Covenant Medical Group | Internal Medicine | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2012-05-30 |
| 1124389846 | Covenant Medical Group | Physician Assistant | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2012-05-30 |
| 1811258536 | Covenant Medical Group | Clinic/Center | 5570 State St, Saginaw, MI 48603-3583 | 2012-05-30 |
| 1295096816 | Covenant Medical Group | Internal Medicine | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2012-05-30 |
| 1922368919 | Covenant Medical Group | Emergency Medicine | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2012-05-23 |
| Street Address |
1447 N HARRISON ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-4727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906827 | Arno Weiss Jr. | Plastic Surgery | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2005-07-21 |
| 1285241414 | Kelsey Marie Parker | Physical Therapist | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-10-01 |
| 1598372195 | Christopher Terrence Benson | Nurse Practitioner | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-09-28 |
| 1811502149 | Adrienne Osborn | Nurse Anesthetist, Certified Registered | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-09-14 |
| 1881209732 | Madeleine O'callaghan | Physical Therapist | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-09-08 |
| 1891309035 | Cecilia Juarez | Physical Therapist | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-09-04 |
| 1275147639 | Jessica Meichtry | Student in an Organized Health Care Education/Training Program | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-09-03 |
| 1225640501 | Jamsheed Bahaee | Student in an Organized Health Care Education/Training Program | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-08-19 |
| 1285245829 | Juwairiah Mohammad | Student in an Organized Health Care Education/Training Program | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-08-16 |
| 1184235111 | Derek Wolfe | Student in an Organized Health Care Education/Training Program | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144886896 | Ascension St. Mary's Hospital | Surgery | 1015 S Washington Ave Fl 3, Saginaw, MI 48601-2556 | 2019-05-17 |
| 1881905222 | Ryan Johan Kim | Surgery | 4701 Towne Centre Rd Ste 202, Saginaw, MI 48604-2800 | 2010-06-30 |
| 1851559728 | Jean A. Knapps | Surgery | 2306 Monikin Ct, Saginaw, MI 48603-1519 | 2008-05-28 |
| 1720281553 | Donato M Cabrera, Md PC | Surgery | 700 Cooper Ave Bldg 900, Saginaw, MI 48602-5383 | 2007-06-08 |
| 1477662690 | Antonio Juan Williams Sr. | Surgery | 800 Cooper St Suite 9, Saginaw, MI 48602 | 2006-08-30 |
| 1609980358 | Chet Aaron Morrison | Surgery | 912 S Washington Ave Ste 1, Saginaw, MI 48601-2578 | 2006-08-19 |
| 1942237854 | Wuk Kim | Surgery | 1500 Weiss, Saginaw Va Hospital, Saginaw, MI 48602 | 2006-06-27 |
| 1922051457 | K P Karunakaran | Surgery | 5685 Gratiot Rd, Saginaw, MI 48638-6042 | 2006-05-18 |
| 1861487241 | Gerardo D Reyes | Surgery | 3085 Hallmark Ct, Saginaw, MI 48603-6803 | 2005-09-13 |
| 1730173014 | Khalid Masood Malik | Surgery | 70 N Frost Dr, Ste 1, Saginaw, MI 48638-5796 | 2005-09-01 |
| Find all providers in SAGINAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.