EDWARD ANTHONY OVERTON (NPI# 1093753329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093753329 |
| Entity Type | Individual |
| Full Name | EDWARD ANTHONY OVERTON |
| Credential | D.O. |
| Practice Address |
10310 Mallard Creek Rd Ste 101-c Charlotte NC 28262-9771 |
| Mailing Address |
Po Box 480328 Charlotte NC 28269-5338 |
| Practice Telephone | 2156699668 |
| Practice Fax Number | 7048643300 |
| Mailing Telephone | 2156699668 |
| Mailing Fax Number | 7048643300 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2011-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
53011 | GA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
1146 | SC | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
200400934 | NC | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
OS-010979L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 3686882 | 01 |
| CIGNA | 6738998 | 01 | |
| SC | NC1316 | 05 | |
| NC | 5908315 | 05 | |
| PA | IBC | 2335844000 | 01 |
| Street Address |
10310 MALLARD CREEK RD STE 101-C |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-9771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629422738 | Advanced Sports & Spine, Pllc | Physical Medicine & Rehabilitation | 8035 Providence Rd, #340, Charlotte, NC 28277-9716 | 2016-04-15 |
| 1770815300 | Premier Spine Pain & Rehabilitation | Physical Medicine & Rehabilitation | 8401 Medical Plaza Dr, Charlotte, NC 28262-8797 | 2010-02-07 |
| 1366428740 | Alexander Walter Chasnis | Physical Medicine & Rehabilitation | 2001 Randolph Rd, Charlotte, NC 28207-1215 | 2005-12-19 |
| 1629050034 | James Robert Alexander | Physical Medicine & Rehabilitation | 2001 Randolph Rd, Charlotte, NC 28207-1215 | 2005-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1992160659 | Carolina Sports and Spine | Physical Medicine & Rehabilitation | 1700 Forest Hills Rd W, Wilson, NC 27893-3411 | 2015-12-23 |
| 1811399850 | Mitchell Bloom | Physical Medicine & Rehabilitation | Oak Branch Drive, Suite 7e, Greensboro, NC 27407-2380 | 2014-09-22 |
| 1881619005 | Fan Xi | Physical Medicine & Rehabilitation | 2800 Ashton Drive, Suite 100, Wilmington, NC 28412-2486 | 2006-07-12 |
| 1487632881 | Mark Allen Goodson | Physical Medicine & Rehabilitation | 114 Welton Way Ste A, Mooresville, NC 28117-9251 | 2006-01-05 |
| 1083696892 | Ronald Vandernoord | Physical Medicine & Rehabilitation | 710 Park Center Dr Ste 300, Matthews, NC 28105-5082 | 2005-11-17 |
| 1922095520 | Angelo Tellis | Physical Medicine & Rehabilitation | 2111 Neuse Blvd. Suite J, New Bern, NC 28560-4317 | 2005-09-29 |
| 1578569166 | Thomas Francis Florian | Physical Medicine & Rehabilitation | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2005-06-28 |
| 1619524097 | Novant Medical Group Inc | Physical Medicine & Rehabilitation | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-21 |
| 1467006197 | Southeastern Medical, Pa | Physical Medicine & Rehabilitation | 830 Sunset Blvd N, Sunset Beach, NC 28468-4262 | 2019-07-31 |
| Find all providers with the same taxonomy | ||||
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| 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.