SEAN PATRICK OVERLIE


Address: 2496 Bauer Rd., Bmc Mcas Miramar, San Diego, CA 92145
Phone: 8585779864

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 2496 BAUER RD.
BMC MCAS MIRAMAR
City SAN DIEGO
State CA
Zip Code 92145

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SAN DIEGO
Zip Code 92145

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Dataset Information

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.

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