MEDICARE: DR. STEPHEN L. SIMPSON, M.D., P.C.

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	174400000X	Specialist	205051	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	103355800	OTHER	MA	ACS
2	J22501	OTHER	MA	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	6919759006	OTHER	MA	CIGNA
5	408251	OTHER	MA	TUFTS
6	48317	OTHER	MA	FALLON
7	2430200	OTHER	MA	AETNA
8	0900631	OTHER	MA	UNITED HEALTH
9	172414	OTHER	MA	HARVARD PILGRIM

General Provider Information

NPI Number	:	1952579674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. STEPHEN L. SIMPSON, M.D., P.C.

Provider Business Mailing Address
First Line	:	PO BOX 6300
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02940-6300
Country	:	US
Telephone Number	:	978-862-0025
Fax Number	:	978-862-0049

Provider Business Practice Location Address
First Line	:	198 GROTON RD
Second Line	:	SUITE 1
City	:	AYER
State	:	MA
Zip	:	01432-1177
Country	:	US
Telephone Number	:	978-862-0025
Fax Number	:	978-862-0049

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SARA J. FLANNERY
Credential	:
Telephone Number	:	978-862-0025

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	12/18/2008

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AYER, MA
01432-1177

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AYER, MA
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Directions to “DR. STEPHEN L. SIMPSON, M.D., P.C. ” Practice Location

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