Organization Active NPI

Richard Simman MD LLC

  • Plastic and Reconstructive Surgery Physician
  • Miamisburg, OH
National Provider Identifier
1215136460
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
RICHARD SIMMAN MD LLC
Practice address
4000 Miamisburg Centerville Rd
Ste 104
Miamisburg, OH 45342-3674
Phone
(937) 384-0780
Fax
(937) 384-0781
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Dr. Richard Simman, M.D.
Title
President
Phone
(937) 384-0780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary
Medical Specialty Clinic/Center 261QM2500X 1706540 OH

Addresses

Primary practice location

4000 Miamisburg Centerville Rd
Ste 104
Miamisburg, OH 45342-3674

Mailing address

PO Box 181257
Fairfield, OH 45018-1257
Phone (937) 384-0780

Other identifiers 1

IdentifierTypeStateIssuer
0165676MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1215136460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181257",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450181257",
            "telephone_number": "937-384-0780",
            "fax_number": "937-384-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MIAMISBURG CENTERVILLE RD",
            "address_2": "STE 104",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423674",
            "telephone_number": "937-384-0780",
            "fax_number": "937-384-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD SIMMAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "SIMMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-384-0780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "1706540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165676",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.