Organization Active NPI

Thomas E Simpson Mdpa

  • Specialist
  • Winston Salem, NC
National Provider Identifier
1902824329
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39466 Issued in NC
Legal business name
THOMAS E SIMPSON MDPA
Practice address
760 Highland Oaks Dr
Suite 200
Winston Salem, NC 27103-7114
Phone
(336) 659-9440
Fax
(336) 659-9292
NPI assigned
Jul 17, 2006
Organization subpart
Yes
Parent organization
THOMAS E SIMPSON MDPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Thomas E Simpson, M.D.
Title
President
Phone
(336) 659-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 39466 NC Primary

Addresses

Primary practice location

760 Highland Oaks Dr
Suite 200
Winston Salem, NC 27103-7114

Mailing address

760 Highland Oaks Dr
Ste 200
Winston Salem, NC 27103-7114
Phone (336) 659-9440

Other identifiers 2

IdentifierTypeStateIssuer
8976440MedicaidNC
76440OtherNCBCBS

National Provider Directory

National Provider Directory
Part of
Thomas Simpson MD PA

Locations

760 Highland Oaks Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 277-4380

Practitioners & affiliated clinicians

Practitioners 2

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1902824329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 HIGHLAND OAKS DR",
            "address_2": "STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037114",
            "telephone_number": "336-659-9440",
            "fax_number": "336-659-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 HIGHLAND OAKS DR",
            "address_2": "SUITE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037114",
            "telephone_number": "336-659-9440",
            "fax_number": "336-659-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E SIMPSON MDPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS E SIMPSON MDPA",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-659-9440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "39466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8976440",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "76440",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.