NPIMap

Organization Active NPI

Simedhealth, LLC

  • Rheumatology Physician
  • Gainesville, FL
National Provider Identifier
1821755836
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SIMEDHEALTH, LLC
Practice address
4343 W Newberry Road Ste 18 Administration
Gainesville, FL 32607
Phone
(352) 224-2200
Fax
(352) 224-2484
NPI assigned
Nov 24, 2021
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, MD
Title
Chief Exective Officer
Phone
(352) 224-2302

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

4343 W Newberry Road Ste 18 Administration
Gainesville, FL 32607

Mailing address

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

Other names 1

  • SIMEDHealth Gainesville Rheumatology 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 18
Gainesville, FL 32607
Phone (352) 224-2200

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.

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": "1821755836",
    "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 STE 18 ADMINISTRATION",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-224-2200",
            "fax_number": "352-224-2484"
        }
    ],
    "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": "2021-10-25",
        "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": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMEDHealth Gainesville Rheumatology",
            "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.