PAUL A OVERLIE


Address: 3514 21st St, Lubbock, TX 79410-1210
Phone: 8067251801

PAUL A OVERLIE (NPI# 1598769275) 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) 1598769275
Entity Type Individual
Full Name PAUL A OVERLIE
Credential M.D.
Practice Address 3514 21st St
Lubbock
TX 79410-1210
Mailing Address 2215 Nashville Ave
Lubbock
TX 79410-1105
Practice Telephone 8067251801
Practice Fax Number 8067237535
Mailing Telephone 8067255844
Mailing Fax Number 8067236532
Enumeration Date 2005-06-09
Last Update Date 2017-12-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
H5345 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX RAILROAD MEDICARE P01772077 01
TX FIRSTCARE 120843107 01
NM 000W7173 05
TX 119000106 05
TX MEDICARE 274410YKT8 01
TX BCBS TX 8GH487 01

Office Location

Street Address 3514 21ST ST
City LUBBOCK
State TX
Zip Code 79410-1210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720634322 Ahnnabeth Millis Registered Nurse 3514 21st St, Lubbock, TX 79410-1210 2019-08-11
1346725090 Nickie Diane Stewart Nurse Practitioner 3514 21st St, Lubbock, TX 79410-1210 2018-09-28
1225510647 Ravyn Nicole Barr Nurse Practitioner 3514 21st St, Lubbock, TX 79410-1210 2018-08-31
1740702398 Melissa Franco Nurse Practitioner 3514 21st St, Lubbock, TX 79410-1210 2017-07-14
1508225848 Tonya Brown Nurse Practitioner 3514 21st St, Lubbock, TX 79410-1210 2016-02-15
1326398702 Jerry Wayne Ary Nurse Practitioner 3514 21st St, Lubbock, TX 79410-1210 2012-09-13
1467766675 Mohammad Ali Chaudhry Anesthesiology 3514 21st St, Lubbock, TX 79410-1210 2010-07-29
1144545781 Kyler W. Barkley Internal Medicine 3514 21st St, Lubbock, TX 79410-1210 2010-04-06
1154659688 James E Golden Nurse Practitioner 3514 21st St, Lubbock, TX 79410-1210 2009-11-20
1902810344 James B Moss IIi Internal Medicine 3514 21st St, Lubbock, TX 79410-1210 2006-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548878267 Covenant Medical Center Clinic/Center 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 2020-07-20
1669038626 Hub City Anesthesia Nurse Anesthetist, Certified Registered 3416 22nd Street, Lubbock, TX 79410 2019-05-15
1912447418 Lubbock Surgery Center, LLC Clinic/Center 3416 22nd St, Lubbock, TX 79410 2017-03-02
1871032698 Lezlee Berry Pharmacist 3615 19th Street, Lubbock, TX 79410 2017-02-13
1376914101 Matthew Cotton Nurse Practitioner 2424 Quaker Ave, Lubbock, TX 79410 2015-10-20
1841534864 Frank Nwabugwu Pharmacist 4120 34th Street, Lubbock, TX 79410 2012-11-15
1689954794 Dharmendra Kumar Pediatrics Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 2011-08-19
1518277177 T.r.m. Rao, M.d., P.a. Colon & Rectal Surgery 3809 22nd Street, Suite C, Lubbock, TX 79410 2010-10-18
1700196672 Hanford Consultations P.a. Family Medicine 4000 22nd Place Suite 100, Lubbock, TX 79410 2010-10-13
1336452598 Amanda Collins Specialist 4801 34th Street, Lubbock, TX 79410 2010-07-16
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972966810 Caprock Cath Lab, Lp Internal Medicine 4324 23rd St, Lubbock, TX 79410-1812 2016-03-29
1982724217 Nabil M. Attaya, M D Pa Internal Medicine 2424 50th St Rm 303, Lubbock, TX 79412-2561 2007-03-30
1477583052 Ayman Karkoutly Internal Medicine 4001 21st St, Lubbock, TX 79410-1134 2006-07-03
1265480966 Jason B Wischmeyer Internal Medicine 4004 82nd St Ste D, Lubbock, TX 79423-2065 2006-05-04
1346244225 Curtis Jay Carothers Internal Medicine 9812 Slide Rd, Lubbock, TX 79424-5781 2005-06-09
1962405209 Mohammad Fawwaz Shoukfeh Internal Medicine 3710 21st St, Lubbock, TX 79410-1220 2005-05-31
1578566006 Mounir Y Borno Internal Medicine 4802 N Loop 289, Lubbock, TX 79416-3025 2005-05-30
1033112560 Howard P Hurd II Internal Medicine 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 2005-05-30
1982063269 Caprock Cardiovascular Center, LLP Internal Medicine 4316 23rd St, Lubbock, TX 79410-1812 2016-02-16
1831484773 Colbert Perez Internal Medicine 4316 23rd St, Lubbock, TX 79410-1812 2011-06-17
Find all providers in LUBBOCK

Competitor

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City LUBBOCK
Zip Code 79410

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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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