Healthcare Provider Details

I. General information

NPI: 1134128622
Provider Name (Legal Business Name): DARELL T. COVINGTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9090 FRANKLIN HILL RD STE 201
EAST STROUDSBURG PA
18301-9105
US

IV. Provider business mailing address

500 PLAZA CT SUITE C
EAST STROUDSBURG PA
18301-8262
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-6545
  • Fax: 866-289-8937
Mailing address:
  • Phone: 570-421-8968
  • Fax: 570-476-1518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMD027319E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: