Sarah Es Overmoyer, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000922 Issued in CT

Practice address

455 Boston Post Rd
Ste 10
Old Saybrook, CT 06475-1516

Phone

(860) 388-9799

Fax

(860) 388-6646

NPI assigned

Jan 30, 2006

Last updated

Feb 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Es Wood Other name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Saybrook Dermatology LLC

  • Dermatology Physician
  • Old Saybrook, CT
  • NPI 1902909708
  Medicare reassignment
• Eric R. Wolf, M.D., P.C.

  • Dermatology Physician
  • Groton, CT
  • NPI 1447459672
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1205807997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BOSTON POST RD",
            "address_2": "STE 10",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751516",
            "telephone_number": "860-388-9799",
            "fax_number": "860-388-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BOSTON POST RD",
            "address_2": "STE 10",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751516",
            "telephone_number": "860-388-9799",
            "fax_number": "860-388-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERMOYER",
        "first_name": "SARAH",
        "middle_name": "ES",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WOOD",
            "middle_name": "ES",
            "credential": "PAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Old Saybrook Youth and Family Services
• Old Saybrook Youth and Family Services
• On Point Acupuncture, LLC
• Orthopaedic & Neurosurgery Specialists, PLLC
• Debora Ouellette, APRN
• Kara Ganssle Pachniuk, MS, CNS, CN
• Laurie Ann Page, PT
• Steven Thomas Page
• Partners in Primary Care, LLC
• Brenda Catherine Partyka, LCSW

• Physician Assistant in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.