Individual
CUTHBERT O. SIMPKINS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6481
Mailing address
6920 POINTE INVERNESS WAY STE 200, MEDPARTNERS, ATTN: BARB COPELAND, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01074693A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
LT-3282
NH
2086S0127X
Trauma Surgery Physician
15507R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1069108
—
LA
05
—
201348180
—
IN
Enumeration date
07/21/2006
Last updated
01/04/2017
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