CARL LEE OVERMILLER (NPI# 1255394300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255394300 |
| Entity Type | Individual |
| Full Name | CARL LEE OVERMILLER |
| Credential | MD |
| Practice Address |
122 Pinnell St Ripley WV 25271-9101 |
| Mailing Address |
Po Box 587 Ripley WV 25271-0587 |
| Practice Telephone | 3043730133 |
| Practice Fax Number | 3043731598 |
| Mailing Telephone | 3043730133 |
| Mailing Fax Number | 3043730497 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2010-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 17934 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MOUNTAIN BCBS | 000787284 | 01 |
| WV | CIGNA | 2243174 | 01 |
| WV | FIRST HEALTH | 794702 | 01 |
| VA | 010299772 | 05 | |
| WV | CARELINK | 437312 | 01 |
| WV | UNICARE | 57898 | 01 |
| WV | 1801280000 | 05 | |
| OH | 2697550 | 05 | |
| WV | AETNA | 4539316 | 01 |
| Street Address |
122 PINNELL ST |
| City | RIPLEY |
| State | WV |
| Zip Code | 25271-9101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275519050 | Anthony J Mceldowney | Surgery | 122 Pinnell St, Ripley, WV 25271-9101 | 2005-12-22 |
| 1629559315 | Community Health Association | Anesthesiology | 122 Pinnell St, Ripley, WV 25271-9101 | 2018-08-22 |
| 1134641392 | Staci D Cummings | Nurse Practitioner | 122 Pinnell St, Ripley, WV 25271-9101 | 2017-07-10 |
| 1518491190 | Chelsea Fisher | Physical Therapist | 122 Pinnell St, Ripley, WV 25271-9101 | 2017-04-20 |
| 1417402850 | Community Health Association | Family Medicine | 122 Pinnell St, Ripley, WV 25271-9101 | 2016-08-15 |
| 1508235755 | Erin Randolph | Nurse Practitioner | 122 Pinnell St, Ripley, WV 25271-9101 | 2015-09-17 |
| 1952786683 | Heather Brown | Nurse Practitioner | 122 Pinnell St, Ripley, WV 25271-9101 | 2015-07-23 |
| 1235511098 | Ana Maria Gonzalez-cadavid | Pediatrics | 122 Pinnell St, Ripley, WV 25271-9101 | 2015-06-29 |
| 1760888911 | Charlene Wilson | Nurse Practitioner | 122 Pinnell St, Ripley, WV 25271-9101 | 2014-11-17 |
| 1952719221 | Mountaineer Anestheisa Providers LLC | Nurse Anesthetist, Certified Registered | 122 Pinnell St, Ripley, WV 25271-9101 | 2014-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316438773 | Road To Recovery, LLC | Family Medicine | 111 Court St S, Ripley, WV 25271 | 2018-05-22 |
| 1003345422 | Patricia Mary Link | Acupuncturist | 2998 Charleston Road, Ste. 5, Ripley, WV 25271 | 2017-06-08 |
| 1518364322 | Michael Gissy | Chiropractor | 368 West Main St, Ripley, WV 25271 | 2014-11-21 |
| 1134564925 | Kassie Lawless | Pharmacist | Mcgraw & Main Street, Ripley, WV 25271 | 2013-05-07 |
| 1881998896 | Maria Danielle Pecka | Pharmacist | Mcgraw & Main St, Ripley, WV 25271 | 2011-01-05 |
| 1760785190 | Erica B Shelton | Pharmacist | Mcgraw and Main Street, Ripley, WV 25271 | 2010-12-07 |
| 1083736714 | Randy Brooks Smith | Dentist | Rt 1 Box 56, Suite 1, Ripley, WV 25271 | 2007-04-04 |
| 1821123605 | Billie Dawn Toler | Internal Medicine | 619 West Main Street, Ripley, WV 25271 | 2007-02-22 |
| 1962541839 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 1000 New Stone Ridge Road, Ripley, WV 25271 | 2007-02-06 |
| 1619016037 | Brian J Brown | Orthopaedic Surgery | Jackson General Hospital, 122 Pinnell Street, Ripley, WV 25271 | 2007-02-05 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275519050 | Anthony J Mceldowney | Surgery | 122 Pinnell St, Ripley, WV 25271-9101 | 2005-12-22 |
| 1588911986 | Cah Acquisition Company 11 LLC | Surgery | 326 Asbury Ave, Suite 104, Ripley, TN 38063-5577 | 2012-08-06 |
| 1992069538 | Cah Acquisition Company 11 LLC | Surgery | 326 Asbury Ave, Ripley, TN 38063 | 2012-06-28 |
| 1992902084 | Community Health Association | Surgery | 122 Pinnell Street, Ripley, WV 25271-9101 | 2007-07-02 |
| 1053380360 | Jeffrey S Barton | Surgery | 122 Pinnell St, Ripley, WV 25271-9101 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417476920 | Raleigh General Hospital LLC | Surgery | 1717 Harper Rd Ste Ab, Beckley, WV 25801-3373 | 2017-09-15 |
| 1043690712 | Onyechi Megafu | Surgery | 2900 1st Ave Ste 210, Huntington, WV 25702-1241 | 2015-06-08 |
| 1548653892 | Parinya Taupradist | Surgery | 1909 Woodside Cir, Charleston, WV 25314-2255 | 2015-03-11 |
| 1730437716 | Akkary Center for Weight Management & Surgical Services | Surgery | 1100 Fort Pierpont Dr, Morgantown, WV 26508-1329 | 2012-08-21 |
| 1669735890 | Semeret Tadios Munie | Surgery | 1115 20th St Ste 101, Huntington, WV 25703-2071 | 2012-06-22 |
| 1780962704 | Pineview Surgery Pllc | Surgery | 1311 Pineview Dr Ste 200, Morgantown, WV 26505-3276 | 2011-07-25 |
| 1659685246 | Suratkal V Shenoy Md PC | Surgery | Rt 220 South and Staggs Lane, Keyser, WV 26726 | 2010-08-06 |
| 1467776013 | John Gabriel Maijub | Surgery | 609 22nd St Apt 1431, Huntington, WV 25703-1657 | 2010-03-24 |
| 1417196262 | Fernando Dominguez | Surgery | 507 Forest Road, Huntington, WV 25705 | 2009-02-18 |
| 1497907141 | Porfirio R. Pascasio | Surgery | 2880 North Pleasant Highway, St. Mary's Correctional Center, St. Mary, WV 26170 | 2008-10-14 |
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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.