Thomas Richard Simac

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

210 Lindsey Wilson St
Columbia, KY 42728-1223

Phone

(224) 735-6856

NPI assigned

Aug 13, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1285280545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CAVE MILL STATION BLVD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046364",
            "telephone_number": "224-735-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LINDSEY WILSON ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281223",
            "telephone_number": "224-735-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMAC",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nicole Sebastian, LPCC
• John Thomas Selman III, ATC, LAT
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• Danielle Nicole Sharp
• Robert S. Shipp, M.D.
• Gary Simons
• Huston Chase Smith, BA
• Jennica Smith
• Roger D Smith, DMD PSC
• Spectrum Care Academy Bluegrass I

• Athletic Trainer in Columbia, KY
• Providers in Columbia, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.