Active NPI
Robert W Simmen, DC
- Chiropractor
- Gibsonia, PA
National Provider Identifier
1366550071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009400
- Practice address
- 5476 William Flynn Hwy
Gibsonia, PA 15044 - Phone
- (724) 444-6644
- Fax
- (724) 444-6671
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3071 | SC | |
| Chiropractor | 111N00000X | DC009400 | PA | Primary |
Addresses
Primary practice location
5476 William Flynn Hwy
Gibsonia, PA 15044
Mailing address
5476 William Flynn Hwy
Gibsonia, PA 15044
Phone (724) 444-6644
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700465 | Other | PA | BCBS |
| 412158 | Other | PA | UPMC |
| 156877 | Medicaid | SC | |
| 6453617 | Other | PA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070628000192 | PA | Practitioner - Chiropractic | 0345254561 | Practice locations: Harwick, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
716 Hite Rd
Harwick, PA 15049-8965
Phone (724) 715-7598
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abner Creek Family and Sports Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Greer, SC
- NPI 1912181256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1366550071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5476 WILLIAM FLYNN HWY",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "15044",
"telephone_number": "724-444-6644",
"fax_number": "724-444-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5476 WILLIAM FLYNN HWY",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "15044",
"telephone_number": "724-444-6644",
"fax_number": "724-444-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMEN",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3071",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1700465",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "412158",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156877",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6453617",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gibsonia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.