Provider Demographics
NPI:1376597120
Name:CIMPL, RICHARD R (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:R
Last Name:CIMPL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4508 38TH ST
Mailing Address - Street 2:SUITE 133
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-1668
Mailing Address - Country:US
Mailing Address - Phone:402-563-3644
Mailing Address - Fax:402-564-5805
Practice Address - Street 1:4508 38TH ST
Practice Address - Street 2:SUITE 133
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-1668
Practice Address - Country:US
Practice Address - Phone:402-563-3644
Practice Address - Fax:402-564-5805
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE16318207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEB67886Medicare UPIN
NE275523Medicare ID - Type Unspecified