PIERCE OVERMAN (NPI# 1588668982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588668982 |
Entity Type | Individual |
Full Name | PIERCE OVERMAN |
Credential | PAC |
Practice Address |
100 Brewster Blvd Naval Hospital Camp Lejeune NC 28547-2538 |
Practice Telephone | 9104504136 |
Mailing Telephone | 9104504136 |
Enumeration Date | 2005-06-13 |
Last Update Date | 2009-11-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
100111 | NC | Allopathic & Osteopathic Physicians |
Street Address |
100 BREWSTER BLVD NAVAL HOSPITAL |
City | CAMP LEJEUNE |
State | NC |
Zip Code | 28547-2538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
1841802253 | Konstance Mackie | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-18 |
1003425117 | Jeremy Moore | Licensed Practical Nurse | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-24 |
1801404546 | Erika Merite Papenfuss | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-20 |
1306454244 | Devon Nicole Dan | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-16 |
1851918957 | Uriah Nmn Paul | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-06 |
1447876529 | Leslee Lynne Smith | Speech-Language Pathologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-24 |
1356965727 | Haleigh Leister | Specialist/Technologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-02 |
1407482045 | Shajaylyn Lee-combs | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-03-16 |
1477188324 | Randi Brenai Allen | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-03-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
Find all providers in zip 28547 |
Taxonomy Code | 207QA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adolescent Medicine |
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447379110 | Bf&p of Sampson PC | Family Medicine | 105 S. Lisbon Ave, Garland, NC 28441 | 2007-03-27 |
1750460549 | Sidney Thomas Greenstone | Family Medicine | 2996 Nc 69 Ste 6, Hayesville, NC 28904-7258 | 2006-11-03 |
1558446948 | Lauren Patricia Johnson | Family Medicine | Ncsu Shs, 2815 Cates Ave, Raleigh, NC 27695-7304 | 2006-10-26 |
1467469320 | Kent Seitz | Family Medicine | 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 | 2006-08-02 |
1881675577 | Paul E Trani | Family Medicine | Blue Ridge Community Health Services, Inc, 2579 Chimney Rock Road, Hendersonville, NC 28792 | 2005-11-09 |
1447254438 | Elizabeth A Deaton | Family Medicine | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2005-06-08 |
1861822793 | Primary Medical Care | Family Medicine | 270 Cornerstone Dr, Suite 105, Cary, NC 27519-8400 | 2013-11-13 |
1144664889 | Kelli Renee Kelderhouse | Family Medicine | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2013-04-24 |
1427304104 | Coleen E Moore | Family Medicine | 4600 Oleander Dr, Wilmington, NC 28403-5149 | 2012-07-31 |
1538414438 | Laney Wellness Center | Family Medicine | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2012-07-17 |
Find all providers with the same taxonomy |
City | CAMP LEJEUNE |
Zip Code | 28547 |
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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.