Nathan S Overbey (NPI# 1457795247, PAC ID# 0840555314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1457795247 |
| PAC ID by PECOS | 0840555314 |
| Professional Enrollment ID | I20180604002013 |
| Full Name | Nathan S Overbey |
| Organization Legal Name | KELLY MEDICAL, PC |
| Address |
5101 W Memorial Rd Oklahoma City OK 73142-2018 |
| Phone Number | 4057529600 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 3173535515 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370206 | OKLAHOMA SPINE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14101 Pkwy Commons Dr, Oklahoma City, OK 73134-6012 | 4057492700 | OKLAHOMA SPINE HOSPITAL LLC |
| 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 | 4057529600 | KELLY MEDICAL, PC |
| Organization Legal Name | KELLY MEDICAL, PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew C Munda | Nurse Practitioner | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Stephen B Kelly | Family Medicine | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Karie L Stewart | Nurse Practitioner | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| James E Lynch | Family Medicine | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Angela K Quick | Nurse Practitioner | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Meredith A Pruitt | Physician Assistant | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Stacy A Torres | Nurse Practitioner | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Jennifer A Mcreynolds | Physician Assistant | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Katherine M Gaddis | Nurse Practitioner | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Moheb As Hallaba | General Surgery | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Street Address |
5101 W MEMORIAL RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73142-2018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew C Munda | Nurse Practitioner | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Stephen B Kelly | Family Medicine | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Karie L Stewart | Nurse Practitioner | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| James E Lynch | Family Medicine | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Angela K Quick | Nurse Practitioner | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Meredith A Pruitt | Physician Assistant | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Stacy A Torres | Nurse Practitioner | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Jennifer A Mcreynolds | Physician Assistant | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Katherine M Gaddis | Nurse Practitioner | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Moheb As Hallaba | General Surgery | Kelly Medical, PC | 5101 W Memorial Rd, Oklahoma City, OK 73142-2018 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason William Pargeter | Chiropractic | 7820 W Memorial Rd, Suite 200, Oklahoma City, OK 73142-1415 | |
| Chris R Reeves | Orthopedic Surgery | Laser Spine Institute LLC | 4727 Gaillardia Pkwy, Suite 100, Oklahoma City, OK 73142-1880 |
| Jakob Curtis | Physical Therapy | Select Physical Therapy Holdings Inc | 5025 Gaillardia Corporate Pl, Suite B1, Oklahoma City, OK 73142-1888 |
| Mary Sumner | Occupational Therapy | Select Physical Therapy Holdings Inc | 5025 Gaillardia Corporate Pl, Suite B1, Oklahoma City, OK 73142-1888 |
| Leslie Marie Bross | Physical Therapy | Select Physical Therapy Holdings Inc | 5025 Gaillardia Corporate Pl, Suite B1, Oklahoma City, OK 73142-1888 |
| Lisa Knight | Physical Therapy | Select Physical Therapy Holdings Inc | 5025 Gaillardia Corporate Pl, Suite B1, Oklahoma City, OK 73142-1888 |
| Derrick C Crampton | Physical Therapy | Select Physical Therapy Holdings Inc | 5025 Gaillardia Corporate Pl, Suite B1, Oklahoma City, OK 73142-1888 |
| Jessica Canales | Physical Therapy | Select Physical Therapy Holdings Inc | 5025 Gaillardia Corporate Pl, Suite B1, Oklahoma City, OK 73142-1888 |
| Seth Newman | Physical Therapy | Select Physical Therapy Holdings Inc | 5025 Gaillardia Corporate Pl, Suite B1, Oklahoma City, OK 73142-1888 |
| Janet M Jones | Physical Therapy | Select Physical Therapy Holdings Inc | 5025 Gaillardia Corporate Pl, Suite B1, Oklahoma City, OK 73142-1888 |
| Find all physicians in zip 73142 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | OKLAHOMA CITY + INTERVENTIONAL PAIN MANAGEMENT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.