Healthcare Provider Details

I. General information

NPI: 1578613998
Provider Name (Legal Business Name): JOS A COVE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 MARTIN LUTHER KING JR WAY
TACOMA WA
98405-3933
US

IV. Provider business mailing address

1515 MARTIN LUTHER KING JR WAY
TACOMA WA
98405-3933
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-2263
  • Fax:
Mailing address:
  • Phone: 253-403-2263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD00040590
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD00040590
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberMD00040590
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberMD00040590
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberMD00040590
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberMD00040590
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: