Dr Ralph E Simms Inc
Organization Active NPI Family Medicine Physician · Glen Daniel, WV
NPI 1205948528 · NPPES record last updated Aug 1, 2007
Key facts
- NPI
- 1205948528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- WV1206 (WV)
- Legal business name
- DR RALPH E SIMMS INC
- Practice address
- 6435 Harper Rd
Glen Daniel, WV 25844 - Phone
- (304) 934-6400
- Fax
- (304) 934-7400
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Ralph Edward Simms, DO
- Title
- Physician Owner
- Phone
- (304) 934-6400
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080520000563 | WV | Part B Supplier - Clinic/Group Practice | 1052344272 |
Receives reassigned benefits from 2 practitioners Practice locations: Glen Daniel, WV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | WV1206 | WV | Yes |
Addresses
Primary practice location
6435 Harper Rd
Glen Daniel, WV 25844
Mailing address
6435 Harper Rd
PO Box 100
Glen Daniel, WV 25844
Phone (304) 934-6400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5630471000 | Medicaid | WV | |
| 9328251 | Other | WV | MEDICARE ID # |
Other providers in Glen Daniel, WV
- Community Health Systems Inc
- Community Health Systems, Inc.
- Community Health Sytems, Inc
- Linda Cook
- Country Roads Pharmacy Inc
- Courtney Elizabeth Epling
- Kaitlin Flannery
- Lisa Marie Fuson
- Barbara Gosnell
- John Christopher Higginbotham
All providers in Glen Daniel, WV · Family Medicine 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 Aug 1, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.