D JEAN OVERACRE (NPI# 1578642898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578642898 |
| Entity Type | Individual |
| Full Name | D JEAN OVERACRE |
| Credential | PAC |
| Practice Address |
104 Plumtree Rd Suite 102 Bel Air MD 21015-6095 |
| Practice Telephone | 4105694224 |
| Practice Fax Number | 4105694368 |
| Mailing Telephone | 4105694224 |
| Mailing Fax Number | 4105694368 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2011-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0000896 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
104 PLUMTREE RD SUITE 102 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015-6095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285418 | Roy William Rothenberg | Physician Assistant | 104 Plumtree Rd, Suite 102, Bel Air, MD 21015-6095 | 2005-09-20 |
| 1437393758 | Franklin Square Hospital Center Inc | Obstetrics & Gynecology | 104 Plumtree Rd, Suite 107, Bel Air, MD 21015-6095 | 2009-04-30 |
| 1710126628 | Franklin Square Hospital Center Inc | Internal Medicine | 104 Plumtree Rd, Suite 108, Bel Air, MD 21015-6095 | 2009-02-17 |
| 1982813507 | The Training Room, Inc. | Durable Medical Equipment & Medical Supplies | 104 Plumtree Rd, Bel Air, MD 21015-6095 | 2007-05-21 |
| 1225151244 | Michele Crotty | Physician Assistant | 104 Plumtree Rd, Suite 104, Bel Air, MD 21015-6095 | 2007-04-06 |
| 1679610794 | Lindsey Marie Kruk | Physician Assistant | 104 Plumtree Rd, Suite 102, Bel Air, MD 21015-6095 | 2007-01-30 |
| 1639258932 | Robert Knight | Family Medicine | 104 Plumtree Rd, Suite 102, Bel Air, MD 21015-6095 | 2006-11-06 |
| 1912086794 | Gillian Adams | Family Medicine | 104 Plumtree Rd, Bel Air, MD 21015-6095 | 2006-11-03 |
| 1629094404 | Patricia Ketler | Nurse Practitioner | 104 Plumtree Rd, Suite 115, Bel Air, MD 21015-6095 | 2006-07-14 |
| 1609891910 | Katherine Fallon | Physician Assistant | 104 Plumtree Rd, Suite 115, Bel Air, MD 21015-6095 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154867422 | Nathan William Toth | Physician Assistant | 602 S Atwood Rd Ste 100, Suite 100, Bel Air, MD 21014-4198 | 2017-01-11 |
| 1730499070 | Sarah Louise Mohr | Physician Assistant | 602 S. Atwood Rd, #200 A, Bel Air, MD 21014-4396 | 2010-10-20 |
| 1568560761 | David John Ericson | Physician Assistant | 520 Upper Chesapeake Dr Ste 206, Bel Air, MD 21014 | 2006-09-20 |
| 1679582936 | Michelle Montague | Physician Assistant | 2021b Emmorton Rd Ste 210, Bel Air, MD 21015-8972 | 2006-08-05 |
| 1053873786 | Nicole E Green | Physician Assistant | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2019-04-02 |
| 1366927675 | Sau Win | Physician Assistant | 5 Bel Air South Pkwy, Bel Air, MD 21015-6091 | 2018-10-02 |
| 1679015333 | Dalia Akkad Abaza | Physician Assistant | 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 21015-6091 | 2016-11-12 |
| 1437524287 | Pamela Suzanne Moulsdale | Physician Assistant | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2015-12-04 |
| 1093184848 | Brigit Yadana Htoon Phillips | Physician Assistant | 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 21015 | 2015-09-23 |
| 1720496227 | Ashley L Heisey | Physician Assistant | 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 21015-6091 | 2014-07-28 |
| Find all providers in BEL AIR | ||||
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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.