NPIMap

Organization Active NPI

Simedhealth, L.L.C.

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1285128496
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME72829 Issued in FL
Legal business name
SIMEDHEALTH, L.L.C.
Practice address
4343 W. Newberry Road
Suite 10
Gainesville, FL 32607-2817
Phone
(352) 373-2340
Fax
(352) 373-3140
NPI assigned
Jun 20, 2018
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SIMEDHEALTH, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mr. Daniel Martin Duncanson, M.D.
Title
Ceo
Phone
(352) 224-2302

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME72829 FL Primary
Family Medicine Physician 207Q00000X ME080634 FL

Addresses

Primary practice location

4343 W. Newberry Road
Suite 10
Gainesville, FL 32607-2817

Mailing address

PO Box 357010
Gainesville, FL 32635-7010
Phone (352) 224-2200

Other names 1

  • SIMEDHealth Urgent Care Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Simedhealth LLC4 organizations share this tax ID, including this one
Part of
Simedhealth LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

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": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1285128496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357010",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357010",
            "telephone_number": "352-224-2200",
            "fax_number": "352-224-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W. NEWBERRY ROAD",
            "address_2": "SUITE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072817",
            "telephone_number": "352-373-2340",
            "fax_number": "352-373-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMEDHEALTH, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMEDHEALTH, L.L.C.",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "DUNCANSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-224-2302",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME72829",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME080634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMEDHealth Urgent Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.