Organization Active NPI

William T. Simonet, MD,PA

  • Durable Medical Equipment & Medical Supplies
  • Burnsville, MN
National Provider Identifier
1477730414
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
26306 Issued in MN
Legal business name
WILLIAM T. SIMONET, MD,PA
Practice address
625 E Nicollet Blvd
Oakridge Professional BLDG Suite 100
Burnsville, MN 55337-6734
Phone
(952) 915-8324
Fax
(952) 927-5259
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Claudette Viola Nordby
Title
Patient Accounts Manager
Phone
(952) 915-8324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 26306 MN Primary

Addresses

Primary practice location

625 E Nicollet Blvd
Oakridge Professional BLDG Suite 100
Burnsville, MN 55337-6734

Mailing address

6600 France Ave S
Suite 605
Edina, MN 55435-1807
Phone (952) 915-8324

Other identifiers 1

IdentifierTypeStateIssuer
070777500MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
William T Simonet Mdpa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1477730414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "address_2": "SUITE 605",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351807",
            "telephone_number": "952-915-8324",
            "fax_number": "952-927-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E NICOLLET BLVD",
            "address_2": "OAKRIDGE PROFESSIONAL BLDG SUITE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376734",
            "telephone_number": "952-915-8324",
            "fax_number": "952-927-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T. SIMONET, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "NORDBY",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_middle_name": "VIOLA",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "952-915-8324"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "26306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070777500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.