DR. CHARLES KELLEY SIMPSON (NPI# 1871527754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871527754 |
| Entity Type | Individual |
| Full Name | DR. CHARLES KELLEY SIMPSON |
| Credential | M.D. |
| Practice Address |
120 Old Laramie Trl E Lafayette CO 80026-7012 |
| Practice Telephone | 3039269800 |
| Practice Fax Number | 3039269891 |
| Mailing Telephone | 3039269800 |
| Mailing Fax Number | 3039269801 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
28468 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 021766 | 01 |
| CO | TAX ID | 840900897 | 01 |
| CO | 01284686 | 05 | |
| CO | 05854776 | 05 | |
| CO | TAX ID | 841537239 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821303777 | Charles Ellingwood Simpson | Dentist | 12 Varney Rd, Wolfeboro, NH 03894 | 2010-08-16 |
| 1912106618 | Charles Simpson | Physical Therapist | 806 Saint Vincents Dr Ste 620, Birmingham, AL 35205-1616 | 2007-07-12 |
| 1194869990 | Charles Gordon Simpson | Dentist | 1180 Parkway Dr, Blackfoot, ID 83221-0869 | 2007-02-16 |
| 1982759494 | Charles J Simpson | Counselor | 1601 N Pine St, Wilmington, DE 19802-5007 | 2007-01-24 |
| 1164502282 | Charles Aaron Simpson | Chiropractor | 104 Se Lonita St, Stuart, FL 34994-3447 | 2006-10-16 |
| 1467541185 | Charles L Simpson | Specialist | 840 Medical Center Dr, West Point, MS 39773-9319 | 2006-10-12 |
| 1790747939 | Charles A Simpson | Chiropractor | 3990 Sw Lafollett Rd, Cornelius, OR 97113-6037 | 2006-04-04 |
| 1013916105 | Charles Lee Simpson | Chiropractor | 1007 Sw 1st Ave, Ocala, FL 34474-4220 | 2005-07-20 |
| 1407852908 | Charles H Simpson IIi | Dentist | 800 W Williams St, Ste 240, Apex, NC 27502-5204 | 2005-06-21 |
| 1841800943 | Charles Bryan Simpson | Emergency Medical Technician, Paramedic | 267 N Canyon Dr, Gooding, ID 83330-5500 | 2020-08-04 |
| Street Address |
120 OLD LARAMIE TRL E |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942278361 | Centennial Radiation Oncology, P.C. | Radiology | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2006-03-10 |
| 1841621406 | Creekside Specialty Physicians LLC | Specialist | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2013-12-09 |
| 1043507353 | Poudre Vallley Rental Company LLC | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2011-07-07 |
| 1346534658 | Banner Oncology Services | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2011-06-03 |
| 1275765802 | Matthew P Orourke | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2009-08-16 |
| 1003046905 | Colorado Cyberknife LLC | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2009-07-27 |
| 1912137811 | Creekside Cancer Care LLC | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2009-07-27 |
| 1699922005 | Alpine Radiation Oncology Services, Pllc | Clinic/Center | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2008-08-27 |
| 1902098361 | Ck Leasing Physician Services LLC | Radiology | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487974044 | Lafayette Health Ventures Inc | Radiology | 155 Hospital Dr Ste 102, Lafayette, LA 70503-2852 | 2010-06-07 |
| 1700021961 | Karl Thomas Noell | Radiology | 630 Greenbriar Rd, Lafayette, LA 70503-3408 | 2008-12-02 |
| 1376700591 | James Kyle Russo II | Radiology | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2008-05-16 |
| 1649442013 | Imaging Services of Louisiana LLC | Radiology | 5000 Ambassador Caffery Parkway Bldg 10, Lafayette, LA 70508 | 2008-03-26 |
| 1114940046 | Mary Maitland Deland | Radiology | 1507 Alice Dr, Lafayette, LA 70503-5083 | 2006-07-25 |
| 1144256736 | Oncologics, Inc. | Radiology | 917 General Mouton Ave, Lafayette, LA 70501-8511 | 2006-06-24 |
| 1134189566 | Bahman Abraham Daneshfar | Radiology | 302 Arabella Blvd, Lafayette, LA 70508-6054 | 2006-03-28 |
| 1942278361 | Centennial Radiation Oncology, P.C. | Radiology | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2006-03-10 |
| 1316947245 | Mary Margaret Rhees | Radiology | 1425 Unity Pl, Lafayette, IN 47905-5756 | 2005-07-21 |
| 1659820777 | Radiation Oncology Associates of Acadiana, LLP | Radiology | 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508-8800 | 2016-09-30 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on DR. CHARLES KELLEY SIMPSON.
| 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.