| Simpson Dermcare And Family Medicine Pllc | |
|
2225 Teton Plz Ste B Idaho Falls ID 83404-6494 | |
| (208) 524-2222 | |
| Not Available |
| Full Name | Simpson Dermcare And Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2225 Teton Plz, Idaho Falls, Idaho |
| Authorized Official Name and Position | Isac Simpson (MD/OWNER) |
| Authorized Official Contact | 8014721992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simpson Dermcare And Family Medicine Pllc 3070 Wimbledon Cir Ammon ID 83406-4565 Ph: (208) 524-2222 | Simpson Dermcare And Family Medicine Pllc 2225 Teton Plz Ste B Idaho Falls ID 83404-6494 Ph: (208) 524-2222 |
| NPI Number | 1174919534 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 05/08/2015 |
| Medicare PECOS PAC ID | 1355656307 |
|---|---|
| Medicare Enrollment ID | O20150819008758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174919534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Isac Phil Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386939734 PECOS PAC ID: 7416179254 Enrollment ID: I20150820011021 |
| Provider Name | Mindy M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285150037 PECOS PAC ID: 5496021131 Enrollment ID: I20171024001905 |
| Provider Name | Sarah Dawn Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306410956 PECOS PAC ID: 4082019716 Enrollment ID: I20210818003731 |
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