EDWIN M OVERHOLT (MD) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1073515342

EDWIN M OVERHOLT (MD) is a healthcare provider. based in La crosse, Wisconsin. specializing in Otolaryngology/Facial Plastic Surgery Physician. They hold the professional credentials MD. They hold a License No. 33104 (WI). The NPI Number for EDWIN M OVERHOLT (MD) is 1073515342

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
EDWIN M OVERHOLT (MD)
NPI
1073515342
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
1 June 2005
Last Update Date
4 June 2015

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
0648189993
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20041016000146
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for EDWIN M OVERHOLT (MD)

  • South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Anesthesiology AssistantWI
-WI
-WI
General SurgeryWI
A N E S T H E S I O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
Internal MedicineIA
Mental Health CounselorWI

Reviews

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Frequently asked questions

Is EDWIN M OVERHOLT (MD) listed with a National Provider Identifier?
Yes — EDWIN M OVERHOLT (MD) has NPI 1073515342 on file in the registry.
Active or inactive — what applies to EDWIN M OVERHOLT (MD)?
You should see EDWIN M OVERHOLT (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for EDWIN M OVERHOLT (MD)?
At a glance, EDWIN M OVERHOLT (MD) is tied to Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with EDWIN M OVERHOLT (MD)?
Directory geography for EDWIN M OVERHOLT (MD) centers on La Crosse, Wisconsin.
When was this NPI issued?
Enumeration for EDWIN M OVERHOLT (MD) is noted as June 1, 2005 where the registry provides it.

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