Carla Brooke Overton, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

275132 Issued in NY

Practice address

909 W 1St St S
Fulton, NY 13069-5050

Phone

(315) 598-6785

NPI assigned

May 19, 2011

Last updated

Oct 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlaovertonmd@hiemail.healtheconnections.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River View Pediatrics, PC

  • Pediatric Adolescent Medicine Physician
  • Fulton, NY
  • NPI 1831401850
  NPD
• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  NPD (past)

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1912290230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W 1ST ST S",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130695050",
            "telephone_number": "315-598-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W 1ST ST S",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130695050",
            "telephone_number": "315-598-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTON",
        "first_name": "CARLA",
        "middle_name": "BROOKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "275132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oswego County Podiatry PC
• Oswego County Urology PC
• Oswego Health Home Care LLC..
• Oswego Industries Inc.
• Joselito A Ouano, MD
• Barbara L Panko, DDS
• Michelle A. Parisian-Lagray, L.P.N.
• Kelley Ann Parker, LPN
• Tanya Parkhurst, LPN
• Ashley Lenore Parks-Elliot, D.M.D.

• Pediatrics Physician in Fulton, NY
• Providers in Fulton, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.