Provider Demographics
NPI:1659331049
Name:OVERSTREET, DAVID SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCOTT
Last Name:OVERSTREET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 990
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40423-0990
Mailing Address - Country:US
Mailing Address - Phone:859-236-4216
Mailing Address - Fax:859-238-9760
Practice Address - Street 1:105 PONDER CT STE 104
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-9050
Practice Address - Country:US
Practice Address - Phone:859-236-4216
Practice Address - Fax:859-238-9760
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY27420207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MH110116203OtherRR MEDICARE
KY000000048972OtherBCBS
KY64274202Medicaid
KY000000048972OtherBCBS
KYK089061Medicare PIN
KY000000003405OtherCHA