Stephan D Overcash, C.P.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1025 Concord Pkwy N
Concord, NC 28027-5923

Phone

(704) 782-0908

Fax

(704) 786-0469

NPI assigned

Apr 4, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194847772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MARY CIR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280259282",
            "telephone_number": "704-782-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 CONCORD PKWY N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280275923",
            "telephone_number": "704-782-0908",
            "fax_number": "704-786-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERCASH",
        "first_name": "STEPHAN",
        "middle_name": "D",
        "credential": "C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701423",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795089",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Vincent Otteni, M.D.
• Elizabeth Marie Alston Ottey
• Outlook Forensic & Behavioral Health
• Outreach Healthcare Services
• Crystal Overcash, RN
• Matthew Hill Overton, M.D.
• Angela Michelle Owen-Killar, MA
• Jill Owen
• Rhett Owensby, MA,LCMHC,LCAS,CCS
• Richard Vince Ozment, M.D.

• Specialist in Concord, NC
• Providers in Concord, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.