Provider Demographics
NPI:1952579674
Name:DR. STEPHEN L. SIMPSON, M.D., P.C.
Entity Type:Organization
Organization Name:DR. STEPHEN L. SIMPSON, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLANNERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-862-0025
Mailing Address - Street 1:PO BOX 6300
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02940-6300
Mailing Address - Country:US
Mailing Address - Phone:978-862-0025
Mailing Address - Fax:978-862-0049
Practice Address - Street 1:198 GROTON RD
Practice Address - Street 2:SUITE 1
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1177
Practice Address - Country:US
Practice Address - Phone:978-862-0025
Practice Address - Fax:978-862-0049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205051174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA103355800OtherACS
MAJ22501OtherBCBS
MA0101877Medicaid
MA6919759006OtherCIGNA
MA408251OtherTUFTS
MA48317OtherFALLON
MA2430200OtherAETNA
MA0900631OtherUNITED HEALTH
MA172414OtherHARVARD PILGRIM
MA172414OtherHARVARD PILGRIM
MA6919759006OtherCIGNA