DUSTIN SIMPSON


Address: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236
Phone: 2102926225

DUSTIN SIMPSON (NPI# 1710285630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710285630
Entity Type Individual
Full Name DUSTIN SIMPSON
Credential M.D.
Practice Address 1100 Wilford Hall Loop, Bldg 4554
Attn: 59 Mdw/sghc
Jbsa Lackland
TX 78236
Mailing Address 1100 Wilford Hall Loop, Bldg 4554
Attn: 59 Mdw/sghc
Jbsa Lackland
TX 78236-9908
Practice Telephone 2102926225
Mailing Telephone 2102926225
Enumeration Date 2011-03-01
Last Update Date 2018-08-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085N0700X Radiology
Specialization: Neuroradiology
65116-20 WI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 537920001 6082638340 6082630682

Other Providers DUSTIN SIMPSON

NPI Name Taxonomy Address Enumeration
1952742371 Dustin Jay Simpson Dentist 24 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 2013-07-14
1427386515 Dustin Robert Simpson Chiropractor 200 8th Ave Nw, Suite 5, Faribault, MN 55021-5068 2009-12-01

Office Location

Street Address 1100 WILFORD HALL LOOP, BLDG 4554
ATTN: 59 MDW/SGHC
City JBSA LACKLAND
State TX
Zip Code 78236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508858176 Craig Harding Rhyne Jr. Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw, Jbsa Lackland, TX 78236-9908 2005-08-18
1972132595 Samantha Nicole Rowden Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 2020-04-06
1093340176 Dakota Tomasini Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 2020-03-09
1679139877 Benjamin Wang Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2019-05-13
1295294478 Adriana Zamora Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 2019-03-18
1255899035 Emma Prichard Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 2019-03-11
1083117584 Kevin Fluckiger Podiatrist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2018-03-12
1861907453 Eric Daniel Sanchez Physical Therapist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2017-12-05
1528571650 Holly Johnson Social Worker 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2017-11-11
1750804845 Marcela Land Dentist 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX 78236 2017-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063047363 Arnoldo Arturo Gonzalez Jr. Specialist/Technologist 1033 Truemper St, Lackland Afb, TX 78236 2020-03-06
1023643343 Meredith Grace Cockerell Specialist/Technologist W Military Drive, San Antonio, TX 78236 2020-03-06
1578120598 Hali Rashelle Hall Dentist 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 2019-05-24
1952967077 Paul Fianza Boseman Nurse Practitioner 1106 Wilford Hall Loop, San Antonio, TX 78236 2019-05-14
1689161978 Kelly Jones Buckshire Dentist Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 2018-04-23
1902308570 Roger Louis Farney Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 2018-02-28
1568916856 Thomas Maxwell Woolf Dentist 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 2016-08-04
1831544956 Michael Veronneau Student in an Organized Health Care Education/Training Program 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 2016-04-26
1376906958 David Kephart Jr. General Practice 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 2016-04-01
1184084089 Olivia Arballo Dermatology Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 2016-03-04
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Taxonomy Information

Taxonomy Code 2085N0700X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Neuroradiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710500269 Alaha Samir Al Taweel Radiology 301 University Boulevard, 2.820 John Sealy Annex, Galveston, TX 77555-0709 2020-05-19
1134483738 Michael Kai-shin Wang Radiology 311 Bowie St Apt 1905, Austin, TX 78703-0062 2012-06-28
1407032071 Bing Wang Radiology 1400 Pressler Street., Rm. Fct16.5022, Ut Md Anderson Cancer Center, Houston, TX 77030 2008-01-14
1699959114 Alexandros Lazaros Georgiadis Radiology 1801 S 5th St Ste 215, Mcallen, TX 78503-2932 2007-12-19
1659448967 Giovanni G Millare Radiology 226 Red Hawk Rdg, San Antonio, TX 78258-4866 2006-11-29
1750398236 Kenneth Dean Williams Radiology Dept Radiology Scott & White, 2401 S 31st Street, Temple, TX 76508-0001 2006-08-01
1821029224 Central Tx Radiology & Spine Consultants Pa Radiology 4316 James Casey St Ste E1, Austin, TX 78745-1157 2006-07-05
1578591616 Robert Nick Bryan Radiology 1701 Trinity Street, Dell Medical School, Austin, TX 78712-1845 2006-06-29
1558308387 Lester Paul Gerson Radiology 9802 Fm 1960 Bypass Rd W, Suite 245, Humble, TX 77338-3501 2006-06-01
1841255668 Thomas Varghese Radiology 15655 Cypress Wood Medical Dr Ste 100, Houston, TX 77014-1487 2006-04-18
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Competitor

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City JBSA LACKLAND
Zip Code 78236

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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