Individual provider Active NPI

Joseph Marcus Overhage, M.D., PH.D.

  • Internal Medicine Physician
  • Zionsville, IN
National Provider Identifier
1720085186
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01038698A Issued in IN
Practice address
4540 S 975 E
Zionsville, IN 46077-9554
Phone
(317) 873-9287
Fax
(317) 873-9287
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01038698A IN Primary
Clinical Informatics Physician 2083C0008X 01038698A IN

Addresses

Primary practice location

4540 S 975 E
Zionsville, IN 46077-9554

Mailing address

4540 S 975 E
Zionsville, IN 46077-9554
Phone (317) 873-9287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
01038698AINMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1720085186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 S 975 E",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460779554",
            "telephone_number": "317-873-9287",
            "fax_number": "317-873-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 S 975 E",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460779554",
            "telephone_number": "317-873-9287",
            "fax_number": "317-873-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERHAGE",
        "first_name": "JOSEPH",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01038698A",
            "primary": true
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "IN",
            "license": "01038698A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.