Ralph Edward Simms Sr., DO
Individual provider Active NPI General Practice Physician · Glen Daniel, WV
NPI 1124146113 · NPPES record last updated Jul 18, 2007
Key facts
- NPI
- 1124146113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 1206 (WV)
- Practice address
- 6435 Harper Rd
Glen Daniel, WV 25844 - Phone
- (304) 934-6400
- Fax
- (304) 934-7400
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6435 Harper Rd
Glen Daniel, WV 25844
PO Box
Suite 100
Glen Daniel, WV 25844
PO Box
Suite 100
Glen Daniel, WV 25844-0100
Phone (304) 934-6400
Hospital & facility affiliations
- Centerwell Home Health
- Raleigh General Hospital
- Thomas Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080520000552 | WV | Practitioner - Family Practice | 4688607807 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1206 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Ralph E Simms Inc | Family Medicine | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1206 | WV | |
| General Practice Physician | 208D00000X | 1206 | WV | Yes |
Addresses
Primary practice location
6435 Harper Rd
Glen Daniel, WV 25844
Mailing address
RT 1 Box 85
Sandstone, WV 25985
Phone (304) 934-6400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5630471000 | Medicaid | WV | |
| 1205948528 | Other | WV | COMPANY NPI FOX SYSTEMS |
Other providers in Glen Daniel, WV
- Franklin Rhodes
- Rose Rhodes
- Jan L Roop
- Pamela Renae Sadzewicz
- Sandra Scott
- Ryan Thacker
- Teresa C. Thompson
- Nathaniel J Vangrouw
- Walgreen Co
- Sandra Wall
All providers in Glen Daniel, WV · General Practice Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.