Provider Demographics
NPI:1336149384
Name:SIMKIN, HENRY ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:ERIC
Last Name:SIMKIN
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 8019
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01102-8000
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:70 MAIN ST
Practice Address - Street 2:NORTHAMPTON HEALTH CENTER
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1466
Practice Address - Country:US
Practice Address - Phone:413-586-8400
Practice Address - Fax:413-585-5435
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA55870207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000008370OtherBMC
MA102723OtherCIGNA
MA055870-7908OtherCONNECTICARE
MAA59189OtherHARVARD PILGRIM HEALTH PLAN
MA2329785OtherAETNA
MA52855OtherFALLON
MAJ06760OtherBLUE CROSS & BLUE SHIELD
MA055870OtherTUFTS
MA2155339 02OtherUNITED HEALTH PLAN
MA24200OtherHEALTH NEW ENGLAND
MA3006271Medicaid
MA24200OtherHEALTH NEW ENGLAND
MA3006271Medicaid