Overstreet Enterprises Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

0889 Issued in IL

Legal business name

OVERSTREET ENTERPRISES INC

Practice address

1521 W Walnut St
Jacksonville, IL 62650-1151

Phone

(217) 243-7333

Fax

(217) 243-8111

NPI assigned

May 13, 2008

Last updated

May 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rodney E Overstreet, HISNPI 1811391782

Title

President

Phone

(618) 531-9610

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodney E. Overstreet, HIS

  • Hearing Instrument Specialist
  • Jacksonville, IL
  • NPI 1811391782
  Authorized official Same address or phone

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1689841173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 STRAUBE LN",
            "city": "BRIGHTON",
            "state": "IL",
            "postal_code": "620122116",
            "telephone_number": "618-531-9610",
            "fax_number": "217-243-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W WALNUT ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501151",
            "telephone_number": "217-243-7333",
            "fax_number": "217-243-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERSTREET ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-531-9610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "0889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Olejnik, MD
• Gail C Olson
• Open MRI of Jacksonville LLC
• Open MRI of Jacksonville LLC
• Hasan Farid Hasan Othman, MD
• Rodney E. Overstreet, HIS
• Kolawole Kayode Oyewole
• Sravanthi Pallapothu, PT
• Park Place Center
• Passavant Memorial Area Hospital (Prairieland Emergency Physicians)

• Specialist in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.