John Carl Simkevich
Oral and Maxillofacial Surgeon
990 Main St
East Greenwich
, Rhode Island 02818-3187
John Carl Simkevich
Oral and Maxillofacial Surgeon
990 Main St
East Greenwich
, Rhode Island 02818-3187
(401) 885-8577
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- John Carl Simkevich
- 990 Main St
- East Greenwich, RI
- Zip : 02818-3187
- Fax : (401) 885-8577
- Phone : (401) 885-8575
Second Address
- John Carl Simkevich
- 990 Main St
- East Greenwich, RI
- Zip : 02818-3187
- Fax : (401) 885-8577
- Phone : (401) 885-8575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 1655 | RI |
National Provider Identifier
| NPI | 1093746539 |
|---|---|
| Provider Name | John Carl Simkevich |
| First Address | East Greenwich, RI 02818-3187 |
| Second Address | East Greenwich, RI 02818-3187 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 05/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 145482 | UNITED SENIOR-COV (01) | RI |
| 145483 | UNITED SENIOR-EG (01) | RI |
| 145484 | UNITED HEALTH SENIOR-PAWT (01) | RI |
| 2001655 | DELTA DENTAL -PAWT (01) | RI |
| 201298 | BLUE CHIP (01) | RI |
| 3068099 | AETNA HMO EG (01) | RI |
| 3068101 | AETNA HMO- COV (01) | RI |
| 3068102 | AETNA-HMO (01) | RI |
| 4001655 | DELTA DENTAL -EG (01) | RI |
| 5001655 | DELTA DENTAL-COV (01) | RI |
| 5657159 | AETNA (01) | RI |
| 8000056 | UNITED HEALTH-EG (01) | RI |
| 8000057 | UNITED HEALTH-COV (01) | RI |
| 8000075 | UNITED HEALTH-PAWT (01) | RI |
| 8356-2 | BLUE CROSS-PAWT (01) | RI |
| 8442-0 | BLUE CROSS-EG (01) | RI |
| 8447-5 | BLUE CROSS-COV (01) | RI |
| T79228 | (02) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.