NPIMap

Individual provider Active NPI

Richard E Simpson III, M.D.

  • Diagnostic Radiology Physician
  • Fond Du Lac, WI
National Provider Identifier
1194798314
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
42872 Issued in WI
Practice address
481 E Division St
Fond Du Lac, WI 54935-3748
Phone
(920) 921-5676
Fax
(920) 921-2684
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 42872 WI Primary

Addresses

Primary practice location

481 E Division St
Fond Du Lac, WI 54935-3748

Mailing address

481 E Division St
PO Box 910
Fond Du Lac, WI 54935-3748
Phone (920) 921-5676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wisconsin Radiologists SC Diagnostic Radiology PastSince Jan 4, 2016 Accepting new patients
Excalibur Medical Imaging, LLC Diagnostic Radiology Past Accepting new patients
Radiology Fond Du Lac LTD Diagnostic Radiology Past Accepting new patients
Marquette General Hospital, Inc. Diagnostic Radiology Past Accepting new patients
Ashland Pathology Services SC Past Accepting new patients
Falls Chiropractic Group SC Past Accepting new patients
Encourage Counseling LLC Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1194798314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 E DIVISION ST",
            "address_2": "PO BOX 910",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353748",
            "telephone_number": "920-921-5676",
            "fax_number": "920-921-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 E DIVISION ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353748",
            "telephone_number": "920-921-5676",
            "fax_number": "920-921-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "42872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.