Overland Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27304 Issued in MO

Legal business name

OVERLAND MEDICAL GROUP

Practice address

8888 Ladue Rd
Saint Louis, MO 63124-2056

Phone

(314) 862-5044

NPI assigned

Aug 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Carl Lyss, MD

Title

MD

Phone

(314) 862-5044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1346471679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 LADUE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242056",
            "telephone_number": "314-862-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 LADUE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242056",
            "telephone_number": "314-862-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAND MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "LYSS",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "314-862-5044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "27304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Overberg, PA
• Justyna Overbey
• Trdell Denise Overbey
• Abigail Shannon Overby, PHARMD
• David Scott Overby, PT
• Overland Optical, Inc. (Overland Optical Family Eye Care)
• Christina Marie Overmann, MD
• Morgan Sue Overmann
• Bradley Dean Overmeyer, LICENSED MSW
• Bo Tyler Overschmidt, MD

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.