Organization Active NPI

James H Simonds DPM PC

  • Podiatrist
  • Portage, MI
National Provider Identifier
1588859862
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
001178 Issued in MI
Legal business name
JAMES H SIMONDS DPM PC
Practice address
126 E Kilgore Rd
Portage, MI 49002-0598
Phone
(269) 381-9060
Fax
(269) 381-1336
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
James Harold Simonds, DPM
Title
President
Phone
(269) 381-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 001178 MI Primary

Addresses

Primary practice location

126 E Kilgore Rd
Portage, MI 49002-0598

Mailing address

126 E Kilgore Rd
Portage, MI 49002-0598
Phone (269) 381-9060

Other identifiers 4

IdentifierTypeStateIssuer
OC96248OtherMIBLUE CROSS BLUE SHIELD
DN0165OtherMIRAILROAD MEDICARE PART B
OC962487482OtherMIMEDICARE GROUP
001178OtherMISTATE LICENSE

Other names 1

  • SIMONDS FOOT & ANKLE CLINICS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1588859862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E KILGORE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490020598",
            "telephone_number": "269-381-9060",
            "fax_number": "269-381-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E KILGORE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490020598",
            "telephone_number": "269-381-9060",
            "fax_number": "269-381-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H SIMONDS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "SIMONDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-381-9060",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "001178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OC96248",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "DN0165",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "OC962487482",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "001178",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMONDS FOOT & ANKLE CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.