JOHN B OVERTON (NPI# 1144261173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144261173 |
| Entity Type | Individual |
| Full Name | JOHN B OVERTON |
| Credential | MD |
| Practice Address |
420 W Acacia St Suite 17 Stockton CA 95203-2441 |
| Practice Telephone | 2098513883 |
| Practice Fax Number | 2098513867 |
| Mailing Telephone | 2098513883 |
| Mailing Fax Number | 2098513867 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | C38023 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OOC380230 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770733925 | John Anderson Overton | Dentist | 710 Military Cutoff Rd Ste 100, Wilmington, NC 28405-2379 | 2008-09-24 |
| 1033268461 | John Hubbard Overton | Pediatrics | 16031 Deblin Sq, Hwy 51 South, Hammond, LA 70403 | 2007-01-08 |
| 1427569904 | John Overton | Occupational Therapy Assistant | 1500 3rd Ave, Longview, WA 98632-3229 | 2017-10-23 |
| Street Address |
420 W ACACIA ST SUITE 17 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95203-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401810 | Peter G Hickox | Specialist | 420 W Acacia St, Sutie 11, Stockton, CA 95203-2441 | 2005-07-21 |
| 1174880835 | Diego F Ferro Md Inc | Internal Medicine | 420 W Acacia St, Suite 1, Stockton, CA 95203-2441 | 2012-04-19 |
| 1174756027 | Bhagya Nakka, M.d., Inc. | Obstetrics & Gynecology | 420 W Acacia St, Suite 22, Stockton, CA 95203-2441 | 2009-08-26 |
| 1700027877 | Diego F. Ferro | Specialist | 420 W Acacia St, Suite 1, Stockton, CA 95203-2441 | 2009-03-18 |
| 1649321274 | Dameron Hospital Home Health | Home Health | 420 W Acacia St, Stockton, CA 95203-2441 | 2007-01-12 |
| 1073663431 | Dameron Hospital Association | Pharmacy | 420 W Acacia St, Stockton, CA 95203-2441 | 2007-01-10 |
| 1699857896 | Alfredoleonmdinc | Internal Medicine | 420 W Acacia St, #6, Stockton, CA 95203-2441 | 2006-10-19 |
| 1982700969 | Robert Charles Southmayd | Obstetrics & Gynecology | 420 W Acacia St, Suite 11, Stockton, CA 95203-2441 | 2006-09-16 |
| 1073619060 | Big Valley Ob-gyn Medical Center,inc. | Obstetrics & Gynecology | 420 W Acacia St, Suite 11, Stockton, CA 95203-2441 | 2006-09-16 |
| 1164527883 | Lakshma R Tiyyagura | Internal Medicine | 420 W Acacia St, # 18, Stockton, CA 95203-2441 | 2006-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899349 | Sagrario Alva Chavez | Technician | Sagrario Chavez, 1248 West Park St., Stockton, CA 95203 | 2019-12-26 |
| 1538682810 | Kumars Transport | Non-emergency Medical Transport (VAN) | 1112 W Fremont St, Stockton, CA 95203 | 2017-07-19 |
| 1194251595 | Jesmond Ridge Medical Services A Medical Corporation | Emergency Medicine | 525 W Acacla St, Stockton, CA 95203 | 2017-05-04 |
| 1285011064 | Brian Andrew Reuter | Emergency Medicine | Dameron Hospital, 525 Acacia St, Stockton, CA 95203 | 2015-04-30 |
| 1548209240 | Aaron James Simko | Pediatrics | 525 Acacia Street, Neonatal Department, Stockton, CA 95203 | 2006-06-06 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1619350634 | Sudha Vani Saduvala | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2015-07-08 |
| 1740621671 | Syed Salman Ali | Internal Medicine | 525 W Acacia St, Stockton, CA 95203 | 2013-07-08 |
| 1417021726 | Sahir Naseer | Emergency Medicine | 525 W Acacia St, Stockton, CA 95203 | 2006-11-20 |
| 1104312800 | Melissa Delossantos | Behavioral Analyst | 2180 Lucerne Ave, Stockton, CA 95203-1257 | 2018-07-05 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033223060 | James Dell Morrissey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1617 N California St Suite 1d, Stockton, CA 95204 | 2006-08-18 |
| 1982064754 | Mehdi Akhavan-heidari Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1617 N California St, Suite 1d, Stockton, CA 95204-6117 | 2016-03-07 |
| 1437460516 | Amod P Tendulkar Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1617 N California St, Suite 1d, Stockton, CA 95204-6117 | 2010-06-23 |
| 1184945180 | Isam Felahy M D Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2800 N California St, Suite 15, Stockton, CA 95204-3757 | 2010-06-14 |
| 1457511628 | Amod Tendulkar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1617 N California St, Suite 1d, Stockton, CA 95204-6117 | 2008-06-11 |
| 1851424410 | Jerome M. Mcdonald, M.d. Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1617 N California St, Suite 1d, Stockton, CA 95204-6117 | 2007-03-13 |
| 1316059306 | Isam Felahy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2800 N California St, Suite 15, Stockton, CA 95204-3757 | 2006-08-31 |
| 1104897362 | Timothy J Sloan Md, A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1800 N California St, Stockton, CA 95204 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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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.