MEDICARE: DR. CHRISTOPHER G COVINGTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	15858	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	140001946	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	730791858005	OTHER	OK	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235190943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER G COVINGTON MD

Provider Business Mailing Address
First Line	:	6802 S OLYMPIA AVE
Second Line	:	STE300
City	:	TULSA
State	:	OK
Zip	:	74132-1823
Country	:	US
Telephone Number	:	918-749-0762
Fax Number	:	918-744-4246

Provider Business Practice Location Address
First Line	:	6802 S OLYMPIA AVE
Second Line	:	STE300
City	:	TULSA
State	:	OK
Zip	:	74132-1823
Country	:	US
Telephone Number	:	918-749-0762
Fax Number	:	918-744-4246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	05/20/2013

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Directions to “ DR. CHRISTOPHER G COVINGTON MD” Practice Location

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