DR. GEORGE E OVERLY (NPI# 1962403709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962403709 |
| Entity Type | Individual |
| Full Name | DR. GEORGE E OVERLY |
| Credential | MD |
| Practice Address |
800 E Ellis Rd Norton Shores MI 49441-5622 |
| Practice Telephone | 2317989840 |
| Practice Fax Number | 2317989740 |
| Mailing Telephone | 2317989840 |
| Mailing Fax Number | 2317989740 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2012-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301052054 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 7000006801 | 05 |
| Street Address |
800 E ELLIS RD |
| City | NORTON SHORES |
| State | MI |
| Zip Code | 49441-5622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652783 | Carolyn Waterstradt, Pllc | Counselor | 800 E Ellis Rd, Norton Shores, MI 49441-5646 | 2019-07-30 |
| 1285192294 | Elevation Empowerment Services LLC | Social Worker | 800 E Ellis Rd, Norton Shores, MI 49441-5646 | 2019-03-08 |
| 1003308503 | Katie Dole LLC | Community/Behavioral Health | 800 E Ellis Rd, Norton Shores, MI 49441-5646 | 2018-05-31 |
| 1265980395 | Kevin L Hackworth | Counselor | 800 E Ellis Rd, Norton Shores, MI 49441-5646 | 2016-09-19 |
| 1154794600 | Chris Macpherson | Massage Therapist | 800 E Ellis Rd, Norton Shores, MI 49441 | 2015-11-05 |
| 1447644471 | Lakeshore Integrative Mental Health Services, LLC | Social Worker | 800 E Ellis Rd, Mail Box 577, Suite 271, Norton Shores, MI 49441-5646 | 2015-03-27 |
| 1871996918 | Carolyn Waterstradt | Counselor | 800 E Ellis Rd, Norton Shores, MI 49441-5646 | 2014-10-03 |
| 1578973046 | Alyse Mary Weipert | Social Worker | 800 E Ellis Rd, Norton Shores, MI 49441-5646 | 2014-05-05 |
| 1023430758 | Bradley Ayers | Social Worker | 800 E Ellis Rd, Norton Shores, MI 49441-5646 | 2014-01-15 |
| 1326345406 | West Michigan Home Health, Inc | Home Health | 800 E Ellis Rd, Norton Shores, MI 49441-5622 | 2011-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417193616 | Rexford Primary Care Services,plc | Family Medicine | 1361 Forest Park Rd, Norton Shores, MI 49441-4638 | 2008-12-18 |
| 1154397404 | David G Booth | Family Medicine | 3535 Park St Ste 110, Norton Shores, MI 49444-3736 | 2006-02-27 |
| 1952388563 | Diane L Parrett | Family Medicine | 6207 Harvey St Ste A, Norton Shores, MI 49444-7861 | 2005-12-23 |
| 1275510034 | Katherine Young | Family Medicine | 3587 Henry St Ste 200, Norton Shores, MI 49441 | 2005-12-22 |
| 1487069233 | Kyle D Mckinney | Family Medicine | 3535 Park St Ste 110, Norton Shores, MI 49444 | 2014-06-30 |
| 1447670765 | Brett C Erickson | Family Medicine | 3587 Henry St, Norton Shores, MI 49441-6732 | 2014-04-25 |
| 1558709964 | Kelly A Flynn | Family Medicine | 6401 Prairie St, Suite 2600, Norton Shores, MI 49444-7840 | 2013-06-07 |
| 1922445022 | Jennifer Kay Dulaney | Family Medicine | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2013-05-29 |
| 1952664583 | Alex Francis Wagner | Family Medicine | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2012-06-19 |
| 1265749451 | Krista Joy Hillman | Family Medicine | 6401 Prairie St Ste 2600, Norton Shores, MI 49444-7842 | 2010-09-09 |
| Find all providers in NORTON SHORES | ||||
| City | NORTON SHORES |
| Zip Code | 49441 |
Please comment or provide details below to improve the information on DR. GEORGE E OVERLY.
| 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.