XAVIER C SIMCOCK (NPI# 1679700116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679700116 |
| Entity Type | Individual |
| Full Name | XAVIER C SIMCOCK |
| Credential | M.D. |
| Practice Address |
1611 W Harrison St Ste 400 Chicago IL 60612-4861 |
| Mailing Address |
1 Westbrook Corporate Ctr Ste 240 Westchester IL 60154-5745 |
| Practice Telephone | 7082362600 |
| Practice Fax Number | 7084095179 |
| Mailing Telephone | 7082362673 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
036.150169 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1611 W HARRISON ST STE 400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770557811 | Brian Forsythe | Orthopaedic Surgery | 1611 W Harrison St Ste 400, Chicago, IL 60612 | 2006-02-15 |
| 1861022493 | Isabelle Baneux | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2020-01-23 |
| 1700429040 | William Sideras | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-10-18 |
| 1821643123 | Kaileen Elizabeth Healy | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-08-05 |
| 1124672498 | Yong Li | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-07-25 |
| 1326609017 | Hailey Christa Merk | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-06-24 |
| 1770045049 | Alissa Marie Winner | Nurse Practitioner | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-04-04 |
| 1790245371 | Max Monahan Levine | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2019-03-21 |
| 1780167213 | Samantha Fried | Registered Nurse | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2018-09-11 |
| 1184119471 | Joseph Bradley Samuels | Physician Assistant | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942406558 | Chirag Mukund Shah | Orthopaedic Surgery | 737 N Michigan Ave Ste 700, Chicago, IL 60611-6662 | 2007-06-22 |
| 1518185438 | The Board of Trustees of The University of Illinois | Orthopaedic Surgery | 835 S Wolcott St, Chicago, IL 60612-7342 | 2007-04-23 |
| 1518020080 | Orhan Kaymakcalan | Orthopaedic Surgery | 2755 West 15th St, Room M302, Chicago, IL 60608 | 2006-12-18 |
| 1790878981 | William A Vitello | Orthopaedic Surgery | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2006-10-02 |
| 1689086266 | Jonas A. Reid | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2014-05-29 |
| 1427310366 | Violeta Gutierrez Sherman | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1447 | 2012-06-15 |
| 1235491069 | Grigory E Gershkovich | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1447 | 2012-06-07 |
| 1144471160 | Todd R Rimington | Orthopaedic Surgery | 7447 W Talcott Ave, Suite 500, Chicago, IL 60631-3745 | 2008-10-08 |
| 1689745002 | Daniel Paul Mass | Orthopaedic Surgery | 5841 S Maryland Ave, Mc 3079, Chicago, IL 60637-1447 | 2006-11-10 |
| 1336151760 | Boonmee Chunprapaph | Orthopaedic Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-08-13 |
| Find all providers in CHICAGO | ||||
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| 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.