Annmarie CC Overholser, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD155418 Issued in OR

Practice address

2251 E Hancock St
Newberg, OR 97132-2145

Phone

(971) 281-3000

Fax

(503) 357-4371

NPI assigned

Aug 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1700033677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971130568",
            "telephone_number": "503-352-8657",
            "fax_number": "503-352-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 E HANCOCK ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322145",
            "telephone_number": "971-281-3000",
            "fax_number": "503-357-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERHOLSER",
        "first_name": "ANNMARIE",
        "middle_name": "CC",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "LL17910",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD155418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500636504",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oregon Virtual PT LLC (Oregon Virtual PT)
• Ivan Ortega
• Susan Osborne, MT-BC
• Lynn Otto, LPC
• Amelia Wittwer Ouellette
• Owen Eye Care Inc
• Elisabeth Ann Owen, PSYD
• Lindsay Rae Owen, CRM
• Michael R Owen, O.D.
• Leanne Pace, M.A.

• Family Medicine Physician in Newberg, OR
• Providers in Newberg, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.