Provider Demographics
NPI:1437154309
Name:OVERMAN, STEVEN SCOTT (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:SCOTT
Last Name:OVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10330 MERIDIAN AVE N
Mailing Address - Street 2:STE 230
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9441
Mailing Address - Country:US
Mailing Address - Phone:206-368-6177
Mailing Address - Fax:206-368-6178
Practice Address - Street 1:10330 MERIDIAN AVE N
Practice Address - Street 2:STE 230
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9441
Practice Address - Country:US
Practice Address - Phone:206-368-6177
Practice Address - Fax:206-368-6178
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2007-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00015860207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA159660Medicaid
A05319Medicare UPIN
WA159660Medicaid