SEAN PATRICK OVERLIE (NPI# 1558500090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558500090 |
| Entity Type | Individual |
| Full Name | SEAN PATRICK OVERLIE |
| Credential | IDC |
| Practice Address |
2496 Bauer Rd. Bmc Mcas Miramar San Diego CA 92145 |
| Practice Telephone | 8585779864 |
| Practice Fax Number | 8585779965 |
| Mailing Telephone | 8585779864 |
| Mailing Fax Number | 8585779965 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
2496 BAUER RD. BMC MCAS MIRAMAR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754241 | Joy Lee Kim | Dentist | Mcas Miramar Dental Clinic, Fpo, AA 92145 | 2017-08-01 |
| 1053584540 | Craig Charles Rosario | Military Health Care Provider | Mcas Bmc Miramar, Bldg 2496, Bauer Rd., San Diego, CA 92145 | 2008-04-07 |
| 1710026059 | Breanne Williams Reid | Dentist | 19871 Mitcher Way, San Diego, CA 92145 | 2007-02-05 |
| 1821143165 | Enrico L Sarmiento | Physician Assistant | Bldg 2496 Bauer Rd, Bmc Miramar, San Diego, CA 92145 | 2007-01-25 |
| 1275684276 | Alexander Byron Galifianakis | Preventive Medicine | Mcas Miramar, Hmh-466, San Diego, CA 92145 | 2007-01-16 |
| 1407939408 | Frank J Bogni IIi | General Practice | Branch Medical Clinic Mcas Miramar, Apo, AA 92145 | 2006-10-23 |
| 1578531687 | Amber Nicole Floyd | Military Health Care Provider | Branch Medical Clinic Miramar, 2496 Mitchner Wy, San Diego, CA 92145 | 2006-03-14 |
| 1811964844 | Armando Gonzalez | Military Health Care Provider | Macg-38 Medical, San Diego, CA 92145 | 2006-03-08 |
| 1093787244 | Denise Elizabeth Coyle | Family Medicine | Miramar Family Practice, Mcas Miramar, San Diego, CA 92145 | 2006-02-02 |
| 1881665453 | John C Sims | Ophthalmology | 2496 Bauer Road, Mcas Miramar, San Diego, CA 92145 | 2006-01-31 |
| Find all providers in zip 92145 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
| 1174130744 | Daniel Carrera | Military Health Care Provider | 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 | 2020-09-28 |
| 1316551740 | Kyle Bode Francis | Military Health Care Provider | 3149 Murray Ridge Rd, San Diego, CA 92123-2917 | 2020-09-02 |
| 1255945069 | Jeremy Lee | Military Health Care Provider | 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 | 2020-08-31 |
| 1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
| 1932711934 | Alvaro Daniel Macias | Military Health Care Provider | 8685 Rio San Diego Dr Apt 4344, San Diego, CA 92108-6560 | 2020-08-20 |
| 1689286189 | Charles Luke Morris | Military Health Care Provider | 1675 Beta Ct, San Diego, CA 92126-7060 | 2020-08-18 |
| 1255943635 | Stephon Peyton Frost | Military Health Care Provider | 2654 Mendonca Dr, San Diego, CA 92110-4263 | 2020-08-18 |
| 1184235871 | Jaden Sandi | Military Health Care Provider | Swmi Sfidc Bldg 14 34101 Farenholt Ave, San Diego, CA 92134-0001 | 2020-08-14 |
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| Find all providers in SAN DIEGO | ||||
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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.