Louis Joseph Simonetti Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS006144L Issued in PA

Practice address

78 Second Ave
Collegeville, PA 19426-3646

Phone

(610) 409-9999

Fax

(610) 409-8470

NPI assigned

Oct 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1130025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1972593812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194600525",
            "telephone_number": "610-933-8000",
            "fax_number": "610-917-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SECOND AVE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263646",
            "telephone_number": "610-409-9999",
            "fax_number": "610-409-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONETTI",
        "first_name": "LOUIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-23",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006144L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Elizabeth Shoemaker, DPT
• Stacy Shuchter-Gomez, LCSW
• Kelly Reilley Shultz
• Eme Nelly Silva, DMD
• Ashley Simmons, MA
• Jessica Elaine Sinotte
• John Sloat, OD
• Joseph M Smart, R.PH.
• Aubri Smith
• Jasmine L Smith

• Family Medicine Physician in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.