DR. LORA OVERTON PC (NPI# 1346584638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346584638 |
| Entity Type | Organization |
| Organization Name | DR. LORA OVERTON PC |
| Practice Address |
3217 Lake Ave Fort Wayne IN 46805-5427 |
| Mailing Address |
Po Box 112 Muncie IN 47308-0112 |
| Practice Telephone | 2604901524 |
| Mailing Telephone | 7652840493 |
| Mailing Fax Number | 7652842434 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | LORA OVERTON (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2604901524 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
02001611 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3217 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332664 | Lora Overton | Obstetrics & Gynecology | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2005-08-09 |
| 1487862207 | Hoosier Physical Therapy | Specialist | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2007-05-18 |
| 1710039367 | Reginald Bradley Stiles Sr. | Family Medicine | 3217 Lake Ave, Fort Wayne, IN 46805 | 2007-01-16 |
| 1306855325 | Robert Melvin Schleinkofer | Family Medicine | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2006-08-07 |
| 1649289299 | Tracy Dawn Whiteleather | Physical Therapist | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619006772 | Marvin Eugene Eastlund | Obstetrics & Gynecology | 5204 Tatum Ct, Fort Wayne, IN 46835-4633 | 2007-03-05 |
| 1407196611 | Landon Harrison | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2013-02-25 |
| 1487802393 | Ulrich Klopfer | Obstetrics & Gynecology | 2210 Inwood Dr, Fort Wayne, IN 46815-7117 | 2008-09-04 |
| 1689861130 | Gynecology Center, Inc | Obstetrics & Gynecology | 7920 W Jefferson Blvd, Suite 260, Fort Wayne, IN 46804-4168 | 2007-09-28 |
| 1083748966 | Scott Thomas Goodrich | Obstetrics & Gynecology | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2007-03-15 |
| 1356357628 | Laurette C Robey | Obstetrics & Gynecology | 10343 Dawsons Creek Blvd, #6c, Fort Wayne, IN 46825-1906 | 2006-07-31 |
| 1992711105 | Laurette C. Robey, Md PC | Obstetrics & Gynecology | 10343 Dawsons Creek Blvd, #6c, Fort Wayne, IN 46825-1906 | 2006-07-31 |
| 1255376034 | Catherine S. Chung | Obstetrics & Gynecology | 11123 Parkview Plaza Dr, Fort Wayne, IN 46845-1707 | 2006-06-17 |
| 1891785200 | Marianne Watkins | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2005-10-26 |
| 1558351239 | Stephen E Coats | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-10-25 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on DR. LORA OVERTON PC.
| 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.