MEDICARE: DR. PAUL A SIMCOE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	G57730	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619932845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL A SIMCOE MD

Provider Business Mailing Address
First Line	:	1441 CONSTITUTION BLVD
Second Line	:	NATIVIDAD MEDICAL CENTER, EMERGENCY DEPT.
City	:	SALINAS
State	:	CA
Zip	:	93906-3100
Country	:	US
Telephone Number	:	831-755-6268
Fax Number	:	831-755-6279

Provider Business Practice Location Address
First Line	:	1441 CONSTITUTION BLVD
Second Line	:	NATIVIDAD MEDICAL CENTER, EMERGENCY DEPT.
City	:	SALINAS
State	:	CA
Zip	:	93906-3100
Country	:	US
Telephone Number	:	831-755-6268
Fax Number	:	831-755-6279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	07/09/2007

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