Provider Demographics
NPI:1639217714
Name:SIMPSON, PAMELA SUE (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:SUE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8221 TEAL DR STE 301
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7215
Mailing Address - Country:US
Mailing Address - Phone:410-820-5945
Mailing Address - Fax:410-820-4059
Practice Address - Street 1:8221 TEAL DR STE 301
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7215
Practice Address - Country:US
Practice Address - Phone:410-820-5945
Practice Address - Fax:410-820-4059
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429035207RH0003X
DEC10008393207RH0003X
MDD0065824207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1639217714Medicaid
MD006MQ454Medicare PIN
PA109713QEGMedicare PIN
DE021804R71Medicare PIN
DE1639217714Medicaid