NPIMap

Organization Active NPI

Simedhealth, LLC

  • Internal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1679230684
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SIMEDHEALTH, LLC
Practice address
4343 W Newberry Road Suite 13
Gainesville, FL 32607-2825
Phone
(352) 332-7770
Fax
(352) 332-2825
NPI assigned
Nov 24, 2021
Last updated
Nov 24, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SIMEDHEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Dr. Daniel M. Duncanson, MDNPI 1477535524
Title
Chief Exective Officer
Phone
(352) 224-2302

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

4343 W Newberry Road Suite 13
Gainesville, FL 32607-2825

Mailing address

4343 W Newberry Road Ste 18 Administration
Gainesville, FL 32607
Phone (352) 224-2200

Other names 1

  • SIMEDHealth Gainesville Suite 13 Primary Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Simedhealth LLC4 organizations share this tax ID, including this one
Part of
Simedhealth LLC

Other organizations with this tax ID 3

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

Locations

4343 Newberry Rd
Ste 13
Gainesville, FL 32607
Phone (352) 332-7770

Ownership & related parties

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.

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": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1679230684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 W NEWBERRY ROAD STE 18 ADMINISTRATION",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-224-2200",
            "fax_number": "352-224-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W NEWBERRY ROAD SUITE 13",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072825",
            "telephone_number": "352-332-7770",
            "fax_number": "352-332-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMEDHEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMEDHEALTH, LLC",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "DUNCANSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF EXECTIVE OFFICER",
        "authorized_official_telephone_number": "352-224-2302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMEDHealth Gainesville Suite 13 Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.