Organization Active NPI

Louis R. Simeone,DPM,LTD

  • Foot & Ankle Surgery Podiatrist
  • Providence, RI
National Provider Identifier
1811042732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM00287 Issued in RI
Legal business name
LOUIS R. SIMEONE,DPM,LTD
Practice address
1180 Smith St
1St Floor
Providence, RI 02908-2034
Phone
(401) 331-8873
Fax
(401) 331-9144
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Louis Robert Simeone, DPM
Title
President
Phone
(401) 331-8873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X DPM00287 RI Primary

Addresses

Primary practice location

1180 Smith St
1St Floor
Providence, RI 02908-2034

Mailing address

1180 Smith St
1St Floor
Providence, RI 02908-2034
Phone (401) 331-8873

Other identifiers 1

IdentifierTypeStateIssuer
9002751MedicaidRI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811042732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SMITH ST",
            "address_2": "1ST FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082034",
            "telephone_number": "401-331-8873",
            "fax_number": "401-331-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SMITH ST",
            "address_2": "1ST FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082034",
            "telephone_number": "401-331-8873",
            "fax_number": "401-331-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS R. SIMEONE,DPM,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMEONE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-331-8873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "DPM00287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002751",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.