Provider Type Icon

LISA C OVERTON NPI 1356397913


NPI Information

NPI: 1356397913
Provider Name: LISA C OVERTON
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1940 E WALNUT LN
PHILADELPHIA, PA
ZIP 19138
Phone: (215) 548-2113
Get Directions

LISA C OVERTON is a podiatrist in Philadelphia, PA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. LISA C OVERTON NPI is 1356397913. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1940 E WALNUT LN
PHILADELPHIA, PA
ZIP 19138-312
Phone: (215) 548-2113
Fax: (215) 548-3009

The provider's authorized official is Lisa Carol Overton .
The authorized official title is Podiatrist and has the following contact phone number (215) 548-2010.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 9/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristSC004492LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15403600001OTHERPENNSYLVANIADMERC SUPPLIER ID
2U84705MEDICARE UPINPENNSYLVANIA
30018442730002MEDICAIDPENNSYLVANIA
410741OTHERPENNSYLVANIAELDER HEALTH ID
52134337000OTHERPENNSYLVANIA10 DIGIT IBC HMO ID
6047229MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
7001444333OTHERPENNSYLVANIAHIGH MARK BLUE SHIELD ID
8P00041340OTHERPENNSYLVANIAMEDICARE RAILROAD ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.