Organization Active NPI

William F Simpson Jr D.O.P.a.

  • Surgery Physician
  • Eastland, TX
National Provider Identifier
1710107024
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K5404 Issued in TX
Legal business name
WILLIAM F SIMPSON JR D.O.P.A.
Practice address
921 East Main Street
Eastland, TX 76448
Phone
(254) 629-3971
Fax
(254) 629-3975
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. William Franklin Simpson, D.O.NPI 1811931074
Title
Owner
Phone
(254) 629-3971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X K5404 TX Primary

Addresses

Primary practice location

921 East Main Street
Eastland, TX 76448

Mailing address

921 East Main Street
Eastland, TX 76448
Phone (254) 629-3971

Other identifiers 1

IdentifierTypeStateIssuer
152038901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080313000715 TX Part B Supplier - Clinic/Group Practice 0749365757 Receives reassigned benefits from 1 practitioner
Practice locations: Eastland, TX

National Provider Directory

National Provider Directory

Locations

921 E Main St
Eastland, TX 76448
Phone (254) 629-3971

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1710107024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 EAST MAIN STREET",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "76448",
            "telephone_number": "254-629-3971",
            "fax_number": "254-629-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 EAST MAIN STREET",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "76448",
            "telephone_number": "254-629-3971",
            "fax_number": "254-629-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F SIMPSON JR D.O.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-629-3971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "K5404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152038901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.