Active NPI
Lora Overton, DO
- Obstetrics & Gynecology Physician
- Fort Wayne, IN
National Provider Identifier
1255332664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 02001611A
- Practice address
- 3217 Lake Ave
Fort Wayne, IN 46805-5427 - Phone
- (260) 490-1524
- Fax
- (765) 284-2434
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 02001611A | IN | Primary |
Addresses
Primary practice location
3217 Lake Ave
Fort Wayne, IN 46805-5427
Mailing address
2001 N Granville Ave
Muncie, IN 47303-2110
Phone (765) 213-3238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001611A | IN | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1255332664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N GRANVILLE AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473032110",
"telephone_number": "765-213-3238",
"fax_number": "765-284-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 LAKE AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055427",
"telephone_number": "260-490-1524",
"fax_number": "765-284-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERTON",
"first_name": "LORA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "02001611A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.