Roger D Simons

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R4272 Issued in AR

Legal business name

ROGER D SIMONS

Practice address

111 E Main Place
Suite 3
Flippin, AR 72634

Phone

(870) 453-2274

NPI assigned

Jul 5, 2007

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roger D Simons, M.D.NPI 1396737607

Title

Owner

Phone

(870) 453-2274

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FLIPPIN FAMILY CLINIC Other name

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.

• Roger D Simons, MD

  • Family Medicine Physician
  • Flippin, AR
  • NPI 1396737607
  NPD (past) Authorized official

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1356549984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "FLIPPIN",
            "state": "AR",
            "postal_code": "726340550",
            "telephone_number": "870-453-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MAIN PLACE",
            "address_2": "SUITE 3",
            "city": "FLIPPIN",
            "state": "AR",
            "postal_code": "72634",
            "telephone_number": "870-453-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER D SIMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-453-2274",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R4272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770011202",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121315002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLIPPIN FAMILY CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie M King, APRN
• Johnny Mitchell
• Andrew C Nelson, PHYSICAL THERAPIST
• Shelby Anne Reynolds, NP
• Amber Riley, RN
• Rolland L Bailey DO PA
• RXRN Health (The Pharmacy at Flippin Station)
• Roger D Simons, MD
• Rhonda Renee Spann, RPH
• Therapy for Life, LLC

• Family Medicine Physician in Flippin, AR
• Providers in Flippin, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.