Individual provider Active NPI

David Elan Simckes, MD

  • Specialist
  • Saint Louis, MO
National Provider Identifier
1881600773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
103574 Issued in MO
Practice address
456 N New Ballas Rd
Suite 220
Saint Louis, MO 63141-6831
Phone
(314) 997-7177
Fax
(314) 997-9142
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 103574 MO Primary

Addresses

Primary practice location

456 N New Ballas Rd
Suite 220
Saint Louis, MO 63141-6831

Mailing address

456 N New Ballas Rd
Suite 220
Saint Louis, MO 63141-6831
Phone (314) 997-7177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
103574MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Fertility Partnership Past Accepting new patients
Womens Care & Fertility Associates Inc PastSince Aug 7, 2000 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Mercy Clinic East Communities Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881600773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416831",
            "telephone_number": "314-997-7177",
            "fax_number": "314-997-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416831",
            "telephone_number": "314-997-7177",
            "fax_number": "314-997-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMCKES",
        "first_name": "DAVID",
        "middle_name": "ELAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "103574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.