Active NPI
Timothy L Overlock, M.D.
- Specialist
- Texarkana, TX
National Provider Identifier
1194722173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K3372
- Practice address
- 1002 Texas Blvd
Ste 201
Texarkana, TX 75501-5107 - Phone
- (903) 794-3701
- Fax
- (903) 794-3518
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
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.
-
- Specialist
- Texarkana, TX
- NPI 1548226533
-
- Clinical Psychologist
- Texarkana, TX
- NPI 1477569887
-
- Neurology Physician
- Texarkana, TX
- NPI 1215918693
-
- Physical Therapy Clinic/Center
- Texarkana, TX
- NPI 1881101996
-
- Orthopaedic Surgery Physician
- Texarkana, TX
- NPI 1396962775
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1184662553
-
- Specialist
- Texarkana, TX
- NPI 1083858831
-
- Family Medicine Physician
- Texarkana, AR
- NPI 1023049947
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Longview, TX
- NPI 1609934470
-
- Home Health Agency
- Texarkana, TX
- NPI 1366682080
-
- Home Health Agency
- Texarkana, TX
- NPI 1437269651
-
- Home Health Agency
- Texarkana, AR
- NPI 1780076208
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1002 Texas Blvd
Suite 201
Texarkana, TX 75501-5133
Phone (903) 794-1363
Hospital & facility affiliations
- Encompass Health Home Health
- Chambers Home Health Agency
- Christus Homecare - St Michael
- Enhabit Home Health
- Christus St Michael Health System
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040819000657 | TX | Practitioner - Internal Medicine | 0042283707 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Specialists of Texarkana | Specialist | Current | Accepting new patients |
| Collom and Carney Clinic Association | Past | Accepting new patients | |
| Texarkana Emergency Medicine Physicians,PA | Past | Accepting new patients | |
| Gabbie Medical Clinic PA | Past | Accepting new patients | |
| Betty J. Feir PH.D., P.C. | Past | Accepting new patients | |
| Healthcare Express, LLP | Past | Accepting new patients | |
| Norris Knight MD Orthopedics | Past | Accepting new patients | |
| Texarkana Regional Healthcare Network | Specialist | Past | Accepting new patients |
Locations
1002 Texas Blvd
Ste 201
Texarkana, TX 75501
Phone (903) 794-1363
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0vrdpNH7rwpdKHXHV32pI9kiii8_MVX2/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K3372 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1002 Texas Blvd
Ste 201
Texarkana, TX 75501-5107
Mailing address
1002 Texas Blvd
Ste 201
Texarkana, TX 75501-5107
Phone (903) 794-3701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2010.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1194722173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 TEXAS BLVD",
"address_2": "STE 201",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015107",
"telephone_number": "903-794-3701",
"fax_number": "903-794-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 TEXAS BLVD",
"address_2": "STE 201",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015107",
"telephone_number": "903-794-3701",
"fax_number": "903-794-3518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERLOCK",
"first_name": "TIMOTHY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K3372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.