Active NPI
Michael D. Overbeck,M.D.P.a.
- Primary Care Clinic/Center
- Conshohocken, PA
National Provider Identifier
1386681799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- MD024388E
- Legal business name
- MICHAEL D. OVERBECK,M.D.P.A.
- Practice address
- 1100 Fayette St
Conshohocken, PA 19428-1564 - Phone
- (610) 828-2026
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael David Overbeck, M.D.
- Title
- Physician
- Phone
- (610) 828-2026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | MD024388E | PA | Primary |
Addresses
Primary practice location
1100 Fayette St
Conshohocken, PA 19428-1564
Mailing address
1100 Fayette St
Conshohocken, PA 19428-1564
Phone (610) 828-2026
National Provider Directory
National Provider DirectoryLocations
1100 Fayette St
Conshohocken, PA 19428
Phone (610) 828-2026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1386681799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 FAYETTE ST",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281564",
"telephone_number": "610-828-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 FAYETTE ST",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281564",
"telephone_number": "610-828-2026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL D. OVERBECK,M.D.P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "OVERBECK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "610-828-2026",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "PA",
"license": "MD024388E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.