MEDICARE: RONALD W SIMPSON 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	207Q00000X	Family Medicine Physician	C6884	AR

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	:	1467459370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD W SIMPSON MD

Provider Business Mailing Address
First Line	:	PO BOX 1096
Second Line	:	19797 HWY 5
City	:	MOUNTAIN VIEW
State	:	AR
Zip	:	72560-1096
Country	:	US
Telephone Number	:	870-269-4144
Fax Number	:	870-269-5723

Provider Business Practice Location Address
First Line	:	19797 HWY 6
Second Line	:
City	:	MOUNTAIN VIEW
State	:	AR
Zip	:	72560-1096
Country	:	US
Telephone Number	:	870-269-4144
Fax Number	:	870-269-5723

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	10/05/2011

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