Organization Active NPI

Michael D. Overbeck,M.D.P.a.

  • Primary Care Clinic/Center
  • Conshohocken, PA
National Provider Identifier
1386681799
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD024388E Issued in PA
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.