CARLY R. OVERLAND (NPI# 1023240462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023240462 |
| Entity Type | Individual |
| Full Name | CARLY R. OVERLAND |
| Other Name | CARLY R. SODA |
| Credential | PA-C |
| Practice Address |
670 Lawn Ave Ste A Sellersville PA 18960-1571 |
| Mailing Address |
5 Market Pl Suite 50 New Hope PA 18938-1059 |
| Practice Telephone | 2152570196 |
| Practice Fax Number | 2152571211 |
| Mailing Telephone | 2158626000 |
| Mailing Fax Number | 2158624567 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA054133 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
670 LAWN AVE STE A |
| City | SELLERSVILLE |
| State | PA |
| Zip Code | 18960-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477986925 | Alpha Dermatology of Pennsylvania, LLC | Dermatology | 670 Lawn Ave Ste A, Sellersville, PA 18960-1571 | 2013-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
| 1386082162 | Grand View Hospital | Nutritionist | 700 Lawn Ave Ofc 4194, Sellersville, PA 18960 | 2013-06-13 |
| 1043654619 | Fresenius Medical Care Sellersville, LLC | Clinic/Center | 1105 Bethlehem Pike, Sellersville, PA 18960 | 2013-04-25 |
| 1417206020 | Mary Ziegler | Registered Nurse | 521 Broadway Ave, Sellersville, PA 18960 | 2012-08-29 |
| 1821220542 | Leslie Osimo | Registered Nurse | 29 Boulder Drive, Sellersville, PA 18960 | 2009-08-13 |
| 1770738700 | Tina Gambale | Occupational Therapist | 5 Narothyn Rd, Sellersville, PA 18960 | 2008-11-18 |
| 1316106362 | William Vernon Spear II | Dentist | 27 Temple Ave, Sellersville, PA 18960 | 2008-06-05 |
| 1376715318 | Nancy A Fickert | Registered Nurse | 5 Lifemark Dr, Sellersville, PA 18960 | 2008-03-31 |
| 1225255730 | Barc | Intermediate Care Facility, Mentally Retarded | 2003 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-19 |
| 1073739124 | Barc | Intermediate Care Facility, Mentally Retarded | 1410 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-17 |
| Find all providers in zip 18960 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023040003 | Regina White | Physician Assistant | 4 Life Mark Dr, Grand View Emergency Medicine Associates, Sellersville, PA 18960-1577 | 2006-07-07 |
| 1144870650 | Rachel Nicole Jesiolowski | Physician Assistant | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2019-09-17 |
| 1487208625 | Laura Amber Romano | Physician Assistant | 915 Lawn Ave, Sellersville, PA 18960-1551 | 2019-07-25 |
| 1619442746 | Adam Paul Andriulli | Physician Assistant | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2018-10-04 |
| 1215418041 | Marianne Nabil Iskander | Physician Assistant | 711 Lawn Ave Ste 3, Sellersville, PA 18960-1575 | 2018-08-29 |
| 1124537998 | Nicholas Roy Nelson | Physician Assistant | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2017-09-25 |
| 1134647373 | Wesley Strickland | Physician Assistant | 915 Lawn Ave Ste 203, Sellersville, PA 18960-1551 | 2017-09-08 |
| 1649622390 | Ashley O'neill | Physician Assistant | 817 Lawn Ave, Sellersville, PA 18960-1579 | 2016-07-06 |
| 1285922492 | Krystal M. Thomas | Physician Assistant | 4 Life Mark Dr, Sellersville, PA 18960-1577 | 2011-07-21 |
| 1497896989 | Melissa Rosenau | Physician Assistant | 711 Lawn Ave, Building 3, Sellersville, PA 18960-1575 | 2007-02-09 |
| Find all providers in SELLERSVILLE | ||||
| City | SELLERSVILLE |
| Zip Code | 18960 |
Please comment or provide details below to improve the information on CARLY R. OVERLAND.
| 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.