Provider Demographics
NPI:1013909423
Name:SIMPSON, HARLAND D (MD)
Entity Type:Individual
Prefix:
First Name:HARLAND
Middle Name:D
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 1:280 FRANK B. SMITH DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEBER CITY
Mailing Address - State:VA
Mailing Address - Zip Code:24290
Mailing Address - Country:US
Mailing Address - Phone:276-409-0005
Mailing Address - Fax:276-690-2678
Practice Address - Street 1:280 FRANK B. SMITH DRIVE
Practice Address - Street 2:
Practice Address - City:WEBER CITY
Practice Address - State:VA
Practice Address - Zip Code:24290
Practice Address - Country:US
Practice Address - Phone:276-409-0005
Practice Address - Fax:276-690-2678
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101259151207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3804010Medicaid
VA5706726Medicaid
263833OtherANTHEM BCBS
TN3049096OtherCIGNA
263833OtherANTHEM BCBS
TN3049096OtherCIGNA