Dr David Miller Overman, MD | |
2530 Chicago Ave, Ste 500, Minneapolis, MN 55404-4291 | |
(612) 813-8800 | |
(612) 813-8825 |
Full Name | Dr David Miller Overman |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 2530 Chicago Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619916848 | NPI | - | NPPES |
400707700 | Medicaid | MN | |
31821500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 33317 (Minnesota) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 33317 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Children's Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
Mailing Address | Practice Location Address |
---|---|
Dr David Miller Overman, MD 2530 Chicago Ave, Ste 500, Minneapolis, MN 55404-4291 Ph: (612) 813-8800 | Dr David Miller Overman, MD 2530 Chicago Ave, Ste 500, Minneapolis, MN 55404-4291 Ph: (612) 813-8800 |
Dr. Francis Xavier Moga, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave, Ste 500, Minneapolis, MN 55404 Phone: 612-813-8800 Fax: 612-813-8825 | |
Dr. Keyn Mun Joshua Wong, M.D Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-672-7422 | |
Dr. Benjamin C Sun, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St Ste 610, Suite 610, Minneapolis, MN 55407 Phone: 612-863-6900 | |
Dr. Satoshi Miyairi, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 216-650-4705 | |
Carly Leah Lodewyks, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 800 E 28th St Ste H2100, Minneapolis, MN 55407 Phone: 612-863-3900 | |
Nader Moazami, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St, Ste. 610, Minneapolis, MN 55407 Phone: 612-863-6900 | |
Sebastian Alejandro Iturra Urriola, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St Ste H2100, Minneapolis, MN 55407 Phone: 612-863-3900 |