STEVEN JARED COVICI


Address: 3640 Main St Ste 203, Springfield, MA 01107-1139
Phone: (413) 737-7300

STEVEN JARED COVICI (NPI# 1073580197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073580197
Entity Type Individual
Full Name STEVEN JARED COVICI
Credential M.D.
Practice Address 3640 Main St Ste 203
Springfield
MA 01107-1139
Practice Telephone (413) 737-7300
Practice Fax Number 4137377377
Mailing Telephone (413) 737-7300
Mailing Fax Number 4137377377
Enumeration Date 2006-03-07
Last Update Date 2017-08-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207WX0200X Ophthalmology
Specialization: Ophthalmic Plastic and Reconstructive Surgery
156564 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 3176932 05

Office Location

Street Address 3640 MAIN ST STE 203
City SPRINGFIELD
State MA
Zip Code 01107-1139

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Taxonomy Information

Taxonomy Code 207WX0200X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Ophthalmic Plastic and Reconstructive Surgery

Taxonomy Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093708778 Ioannis P Glavas Ophthalmology 9 Newbury St, 6th Floor, Boston, MA 02116-3130 2005-08-26

Competitor

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City SPRINGFIELD
Zip Code 01107

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Dataset Information

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.

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