Provider Demographics
NPI:1417049347
Name:SIMPSON, JOHN ALVA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALVA
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1987
Mailing Address - Street 2:
Mailing Address - City:SKYLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28776-1987
Mailing Address - Country:US
Mailing Address - Phone:828-575-2644
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:6305 CASTLE PL
Practice Address - Street 2:SUITE 2D
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-1905
Practice Address - Country:US
Practice Address - Phone:703-534-5500
Practice Address - Fax:703-534-4838
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045826207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2307287OtherAETNA
274694OtherANTHEM
VA684263ZKRDOtherMEDICARE PTAN
VA684263ZKRDOtherMEDICARE PTAN