MR. JACK PHILLIP COVELL (NPI# 1588986541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588986541 |
Entity Type | Individual |
Full Name | MR. JACK PHILLIP COVELL |
Credential | MD |
Practice Address |
5631 Co Rd 29 Auburn IN 46706 |
Mailing Address |
P.o. Box 601 Auburn IN 46706 |
Practice Telephone | 2609259767 |
Mailing Telephone | 2609259767 |
Enumeration Date | 2010-02-18 |
Last Update Date | 2010-02-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 01024507A | IN | Allopathic & Osteopathic Physicians |
Street Address |
5631 CO RD 29 |
City | AUBURN |
State | IN |
Zip Code | 46706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942843701 | Lara Maria Lahr | Advanced Practice Midwife | Auburn Ob/gyn, 1316 East 7th Street Suite 2, Auburn, IN 46706 | 2019-10-24 |
1982180501 | Kersten L. Weigle | Nurse Practitioner | 1310 E 7th St Ste F, Auburn, IN 46706 | 2018-07-17 |
1902267057 | Crystal Nicole Kennedy | Nurse Practitioner | 1306 E 7th St#c, Auburn, IN 46706 | 2016-03-17 |
1902264203 | Andrew Delagrange | Student in an Organized Health Care Education/Training Program | 1021 Eckhart Avenue, Auburn, IN 46706 | 2016-02-02 |
1164839007 | Morgan Ariel Buchs | Physical Therapist | 353 N. Grandstaff Dr., Auburn, IN 46706 | 2014-07-11 |
1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
1518262807 | Kori B Engdahl | Advanced Practice Midwife | 1310 East 7th Street, Suite M, Auburn, IN 46706 | 2011-01-18 |
1396914271 | Midwest Eye Consultants, P.C. | Optometrist | 750 N. Grandstaff Dr., Auburn, IN 46706 | 2008-02-26 |
1700077013 | Tyler Elliott Helm | Physical Therapist | 510 N. Grandstaff Dr., Auburn, IN 46706 | 2007-08-05 |
1033285846 | Brian William Roth | Physical Therapist | 510 N Grandstaff Dr, Auburn, IN 46706 | 2006-11-27 |
Find all providers in zip 46706 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1427278001 | Auburn Family Medical Center, Inc., P.s. | General Practice | 202 N Division St # 2, Ste 405, Auburn, WA 98001-4939 | 2007-04-26 |
1619035805 | Robert Lee Hook | General Practice | 11775 Education St Ste 211, Auburn, CA 95602 | 2006-12-04 |
1053303461 | Mark A Vaughan | General Practice | 3256 Professional Dr, Auburn, CA 95602-2412 | 2005-08-22 |
1104459411 | Medical Center Plus LLC | General Practice | 1685 E University Dr Ste E, Auburn, AL 36830-5217 | 2020-02-14 |
1770701104 | William D. Goudy D.o., PC | General Practice | 1306 E 7th St, Suite B, Auburn, IN 46706-2537 | 2007-04-23 |
1184754251 | Chun Yih Yang | General Practice | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2007-03-06 |
1720192560 | Auburn Medical Group, Inc | General Practice | 3280 Professional Dr, Auburn, CA 95602-2412 | 2006-08-18 |
1215938592 | Richard L Anningson | General Practice | 1314 E 7th St, Suite 203, Auburn, IN 46706-2535 | 2005-08-09 |
Find all providers in AUBURN |
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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.