Provider Type Icon

SAMUEL MARK OVERHOLT M.D. NPI 1417952482


NPI Information

NPI: 1417952482
Provider Name: SAMUEL MARK OVERHOLT, M.D.
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9430 PARK WEST BLVD
KNOXVILLE, TN
ZIP 37923
Phone: (865) 693-6065
Get Directions

Samuel Mark Overholt, M.D. is an otolaryngology in Knoxville, TN with 33 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Samuel Mark Overholt, M.D. NPI is 1417952482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1991

The provider's business location address is:

9430 PARK WEST BLVD
KNOXVILLE, TN
ZIP 37923-200
Phone: (865) 693-6065
Fax: (865) 531-6325

The NPI 1417952482 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Ct scan of face (HCPCS:70486)
  • Injection of incremental dosages of allergen, 2 or more injections (HCPCS:95117)
  • Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • Eardrum testing using ear probe (HCPCS:92567)

The enumeration date for this NPI number is 6/16/2005 and was last updated on 11/5/2007.


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
1207Y00000XOtolaryngology28826TENNESSEEYes

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
13808346MEDICAIDTENNESSEE
23808345MEDICARE PIN
3G44180MEDICARE UPINTENNESSEE

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.