NPIMap

Organization Active NPI

Ronald W Simonsen MD PC

  • Family Medicine Physician
  • Warren, PA
National Provider Identifier
1447222039
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD008430E Issued in PA
Legal business name
RONALD W SIMONSEN MD PC
Practice address
341 Bird Ave
Warren, PA 16365
Phone
(814) 723-6858
NPI assigned
Feb 7, 2006
Last updated
May 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Ronald William Simonsen, MDNPI 1043283096
Title
President
Phone
(814) 723-6858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD008430E PA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD008430E PA

Addresses

Primary practice location

341 Bird Ave
Warren, PA 16365

Mailing address

341 Bird Ave
Warren, PA 16365
Phone (814) 723-6858

Other identifiers 1

IdentifierTypeStateIssuer
000623240MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1447222039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 BIRD AVE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "16365",
            "telephone_number": "814-723-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 BIRD AVE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "16365",
            "telephone_number": "814-723-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD W SIMONSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "SIMONSEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-723-6858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD008430E",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD008430E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000623240",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.