Basic Information
| Provider Information | |||||||||
| NPI: | 1013940998 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SIMPSON | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 SPRINGHILL AVENUE SUITE 100 | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 36604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516334949 | ||||||||
| FaxNumber: | 2516334363 | ||||||||
| Practice Location | |||||||||
| Address1: | 1261 HILLCREST ROAD SUITE C | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 36695 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516334949 | ||||||||
| FaxNumber: | 2516334363 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 06/01/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | MD.24563 | AL | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207R00000X | MD.24563 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | MD.24563 | AL | N | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 515-97159 | 01 | AL | BCBS | OTHER | 009935609 | 05 | AL | MEDICAID | 009936118 | 05 | AL | MEDICAID | 1013940998 | 01 | AL | TRICARE SOUTH | OTHER | 515-33389 | 01 | AL | BCBS | OTHER | 009938391 | 05 | AL | MEDICAID | 515-32292 | 01 | AL | BCBS | OTHER | 515-33390 | 01 | AL | BCBS | OTHER | 515-970106 | 01 | AL | BCBS | OTHER | 515-98873 | 01 | AL | BCBS | OTHER | 009935317 | 05 | AL | MEDICAID | 009936119 | 05 | AL | MEDICAID | 009936121 | 05 | AL | MEDICAID |