Provider Demographics
NPI:1922076991
Name:SIMMS, ELISABETH (MD)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:
Last Name:SIMMS
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 1:44035 RIVERSIDE PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-5101
Mailing Address - Country:US
Mailing Address - Phone:703-554-6800
Mailing Address - Fax:703-724-7503
Practice Address - Street 1:44035 RIVERSIDE PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-5101
Practice Address - Country:US
Practice Address - Phone:703-554-6800
Practice Address - Fax:703-724-7503
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101031020207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA223810OtherKAISER
VA500617-4406003OtherAETNA PPO
VA0029050007OtherCIGNA HMO
VA316256-512202OtherMAMSI/OP CHOICE/ALLIANCE
VA504742OtherNCPPO
VA3600008OtherUNITED HEALTHCARE
VA0029050007OtherCIGNA POS/PPO
VA284761OtherANTHEM/TRIGON
VA5839084Medicaid
VA0870-0014OtherBCBS NCA CAREFIRST
VA500617-578708OtherAETNA HMO
VA316256-512202OtherMAMSI/OP CHOICE/ALLIANCE
VA3600008OtherUNITED HEALTHCARE
VA500617-578708OtherAETNA HMO