Isac Phil Simpson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-0854 Issued in ID

Practice address

3456 E 17TH St Ste 190
Ammon, ID 83406-6749

Phone

(208) 524-2222

Fax

(855) 999-9242

NPI assigned

Jun 14, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Arizona College of Osteopathic Medicine Mid Western University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simpson Dermcare and Family Medicine PLLCGroup PAC ID 1355656307, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Simpson Dermcare and Family Medicine PLLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1174919534
  Medicare reassignment Care Compare group NPD Authorized official
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Medicare reassignment NPD
• New Dawn Counseling, LLC

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1912182163
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1386939734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 E 17TH ST STE 190",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066749",
            "telephone_number": "208-524-2222",
            "fax_number": "855-999-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 E 17TH ST STE 190",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066749",
            "telephone_number": "208-524-2222",
            "fax_number": "855-999-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "ISAC",
        "middle_name": "PHIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473675862",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merilee Shively, BS
• Joseph Shumate, RECOVERY COACH
• Signature Hospice & Palliative Care
• Carrie Silva, CNIM, REEGT, RPSGT
• Saul Alejandro Silva
• Janadell Skidmore, LMSW, ICADC
• Megan Diane Slusher, B.S.
• Smith Clinic P a
• Debbie Smith, LCSW
• Julie Smith, PHARMACIST

• Family Medicine Physician in Ammon, ID
• Providers in Ammon, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.

Verify at the official NPI Registry.