Individual provider Active NPI

Martha A Simpson, DO

  • General Practice Physician
  • Athens, OH
National Provider Identifier
1356343982
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
340059475 Issued in OH
Practice address
265 W Union St
Suite B
Athens, OH 45701
Phone
(740) 594-2456
Fax
(740) 594-9630
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 340059475 OH Primary

Addresses

Primary practice location

265 W Union St
Suite B
Athens, OH 45701

Mailing address

265 W Union St
Suite B
Athens, OH 45701-2313
Phone (740) 594-2456

Other practice location 1

2 Health Center Dr
Athens, OH 45701-2907
Phone (740) 592-7100

Other practice location 2

86 Columbus Cir Ste 203
Athens, OH 45701-1371
Phone (740) 249-4122

Other identifiers 1

IdentifierTypeStateIssuer
0990638MedicaidOH

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
340059475OHMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1356343982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 W UNION ST",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012313",
            "telephone_number": "740-594-2456",
            "fax_number": "740-594-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W UNION ST",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-594-2456",
            "fax_number": "740-594-9630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012907",
            "country_code": "US",
            "telephone_number": "740-592-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 Columbus Cir Ste 203",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011371",
            "country_code": "US",
            "telephone_number": "740-249-4122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "MARTHA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "340059475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0990638",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.