Specialized Inpatient Medical Services, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

44566 Issued in CO

Legal business name

SPECIALIZED INPATIENT MEDICAL SERVICES, LLC

Practice address

855 Hunter Dr
Pueblo, CO 81001-1867

Phone

(719) 581-7123

Fax

(719) 564-1041

NPI assigned

Dec 7, 2017

Organization subpart

Yes

Parent organization

INTERNAL MEDICINE & PEDIATRIC ASSOCIATES, LTDAs reported in NPPES

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

Authorized official

Name

Dr. Steven James Simerville, MD

Title

Owner

Phone

(719) 581-7123

Specialties & licenses 2

Addresses

Part of

Internal Medicine Pediatri

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Internal Medicine & Pediatric Associates, LTD

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1609007863
  NPPES parent name

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1376058743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 POMONA CT",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052986",
            "telephone_number": "719-581-7123",
            "fax_number": "719-564-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 HUNTER DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011867",
            "telephone_number": "719-581-7123",
            "fax_number": "719-564-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED INPATIENT MEDICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNAL MEDICINE & PEDIATRIC ASSOCIATES, LTD",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "SIMERVILLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-581-7123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "44566",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "44566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.