JOHN R. OVERBECK (NPI# 1700864261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700864261 |
| Entity Type | Individual |
| Full Name | JOHN R. OVERBECK |
| Credential | MD |
| Practice Address |
4803 55th Ave S Seattle WA 98118-1518 |
| Practice Telephone | 2065798871 |
| Mailing Telephone | 2065798871 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
MD00035253 | WA | Allopathic & Osteopathic Physicians |
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
MD00035253 | WA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
MD455386 | PA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | MD00035253 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8234643 | 05 | |
| WA | L&I PROVIDER NUMBER | 130268 | 01 |
| WA | L&I PROVIDER NUMBER | 175496 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Spruce St, Dept. of Radiology/nuclear Medicine, Philadelphia, PA 191076130 | 2158293435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865536 | John Douglas Overbeck | Internal Medicine | 701 Tuscan, Suite 205, Irving, TX 75039-3834 | 2005-07-20 |
| Street Address |
4803 55TH AVE S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98118-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
| 1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
| 1992287650 | Valentina Komarova | Massage Therapist | 4321 S Webster St Unit D, Seattle, WA 98118 | 2018-08-29 |
| 1750884672 | Ka Hei Cheuk | Behavior Technician | 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 | 2018-03-16 |
| 1285150904 | Crystal N White | Counselor | 3815 S Othello St Suite 100 #317, Seattle, WA 98118 | 2017-08-15 |
| 1346775327 | Anya Lisha Andre | Student in an Organized Health Care Education/Training Program | 9245 Rainier Avenue South, Seattle, WA 98118 | 2017-04-27 |
| 1710334552 | Emeka Titus Okoye | Durable Medical Equipment & Medical Supplies | 4529 S. Henderson Street, #7, Seattle, WA 98118 | 2016-05-23 |
| 1104202191 | Elizabeth Kittay | Acupuncturist | 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 | 2015-08-03 |
| 1194129601 | Heather Vargas-lyon | Massage Therapist | 8338 Wolcott Ave S, Seattle, WA 98118 | 2014-10-13 |
| 1487069878 | Tamikia Jones | Massage Therapist | 9260 57th Ave S, Seattle, WA 98118 | 2014-06-25 |
| Find all providers in zip 98118 | ||||
| Taxonomy Code | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477650943 | Joseph Gnanaprasad Rajendran | Nuclear Medicine | Nuclear Medicine, Box 356113, Univerity of Washington, 1959 Ne Pacific Street, Seattle, WA 98195 | 2006-09-19 |
| 1326184813 | Hedieh Khalatbari | Nuclear Medicine | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366769630 | Robert Alan Schor | Nuclear Medicine | 9261 Se 46th St, Mercer Island, WA 98040-4408 | 2010-04-27 |
| 1578803839 | Multicare Health System | Nuclear Medicine | 17700 Se 272nd St, Covington, WA 98042-4951 | 2013-02-25 |
| 1407013253 | Daniel Scott Tubbs | Nuclear Medicine | 4815 N Assembly St, Spokane, WA 99205-6185 | 2008-05-20 |
| 1962525527 | Puyallup Endocrine & Nuclear Medicine Clinics | Nuclear Medicine | 1011 E Main Ave, Suite 302, Puyallup, WA 98372-6775 | 2007-04-09 |
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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.