Simpelo Medical Clinic, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33913 Issued in MO

Legal business name

SIMPELO MEDICAL CLINIC, P.C.

Practice address

108 Frizzell
Suite 6
Potosi, MO 63664

Phone

(573) 438-5408

Fax

(573) 438-2419

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Rustico V Simpelo, M.D.

Title

President/Physician

Phone

(573) 438-5408

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1932385952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FRIZZELL",
            "address_2": "SUITE 6",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "63664",
            "telephone_number": "573-438-5408",
            "fax_number": "573-438-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FRIZZELL",
            "address_2": "SUITE 6",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "63664",
            "telephone_number": "573-438-5408",
            "fax_number": "573-438-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPELO MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "SIMPELO",
        "authorized_official_first_name": "RUSTICO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "573-438-5408",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "33913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Schumacher, MD
• Gary Selbert, LPC
• Seth Paskon M.D.
• Rackel Elizabeth Sexton-Alfaro, LCSW
• Simpelo Medi-Spa
• Rustico V Simpelo, MD
• Brett T Snodgrass, MD
• Southtowne Imaging Center LLC
• Matthew Scott Standridge, D.D.S.
• Vonna Suda, EDS

• Internal Medicine Physician in Potosi, MO
• Providers in Potosi, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.