Active NPI
James H Simonds, DPM
- Foot & Ankle Surgery Podiatrist
- Portage, MI
National Provider Identifier
1306824040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 001178
- Practice address
- 126 E Kilgore Rd
Portage, MI 49002-0598 - Phone
- (269) 381-9060
- Fax
- (269) 381-1336
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 001178 | MI | Primary |
Addresses
Primary practice location
126 E Kilgore Rd
Portage, MI 49002-0598
Mailing address
126 E Kilgore Rd
Portage, MI 49002-0598
Phone (269) 381-9060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4853950060 | Other | MI | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001178 | MI | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1306824040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 E KILGORE RD",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490020598",
"telephone_number": "269-381-9060",
"fax_number": "269-381-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 E KILGORE RD",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490020598",
"telephone_number": "269-381-9060",
"fax_number": "269-381-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONDS",
"first_name": "JAMES",
"middle_name": "H",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "001178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4853950060",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.