EDWIN M OVERHOLT MD
NPI 1073515342
Otolaryngology - Otolaryngology/Facial Plastic Surgery in La Crosse, WI
About Edwin M Overholt Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWIN M OVERHOLT MD (NPI 1073515342) is an individual otolaryngology/facial plastic surgery provider in La Crosse, Wisconsin, licensed in Wisconsin (33104) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edwin M Overholt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edwin Overholt's NPI number?
The NPI number for Edwin Overholt is 1073515342. It was assigned to this individual provider in the NPPES registry on June 1, 2005.
Where is Edwin Overholt located?
Edwin Overholt practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Edwin Overholt's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.
Is Edwin Overholt enrolled in Medicare?
Yes. Edwin Overholt is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Edwin Overholt was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edwin M Overholt, MD · NPI 1073515342
Otolaryngology/Facial Plastic Surgery physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since June 1, 2005.
## Identity
- **NPI:** 1073515342 (Entity type: Individual)
- **Enumerated:** June 1, 2005
- **Primary specialty:** Otolaryngology - Otolaryngology/Facial Plastic Surgery · taxonomy 207YX0905X
- **State license:** 33104 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 4, 2015
- **Other identifiers:** Medicare UPIN F35947; Medicare PIN 0266 (WI); Medicaid 31808900 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1073515342) · Data from the CMS NPPES public registry.