Individual
PHYLLIS MARTIN-SIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8000
(765) 448-8335
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01029841A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183094
ANTHEM PROVIDER NUMBER
IN
05
—
100088630
—
IN
01
—
10825553
CAQH NUMBER
IN
01
—
9274775
PHCS PID NUMBER
IN
05
—
MA15766030
—
IN
Enumeration date
03/15/2006
Last updated
01/27/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us