Individual provider Active NPI

William L Overstreet III, MD

  • Plastic Surgery Physician
  • Hendersonville, NC
National Provider Identifier
1053364521
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
NC9600665 Issued in NC
Practice address
420 5TH Ave West
Ste 300
Hendersonville, NC 28739
Phone
(828) 697-3553
Fax
(828) 697-5153
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NC9600665 NC Primary

Addresses

Primary practice location

420 5TH Ave West
Ste 300
Hendersonville, NC 28739

Mailing address

420 5TH Ave West
Ste 300
Hendersonville, NC 28739
Phone (828) 697-3553

Other identifiers 2

IdentifierTypeStateIssuer
8964428MedicaidNC
64428OtherNCBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000331 NC Practitioner - Plastic and Reconstructive Surgery 0941495352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of South Carolina School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 5TH Ave W
Suite 300
Hendersonville, NC 28793-4326
Phone (828) 697-3553

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision17
Removal of skin lesions145
Skin biopsy14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NC9600665NCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Plastic Surgery PA Plastic Surgery CurrentSince Jan 1, 1999 Accepting new patients

Locations

420 5th Ave W
Ste 300
Hendersonvlle, NC 28739
Phone (828) 697-3553

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1053364521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 5TH AVE WEST",
            "address_2": "STE 300",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28739",
            "telephone_number": "828-697-3553",
            "fax_number": "828-697-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 5TH AVE WEST",
            "address_2": "STE 300",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28739",
            "telephone_number": "828-697-3553",
            "fax_number": "828-697-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERSTREET",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "NC9600665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8964428",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "64428",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.