Provider Demographics
NPI:1447230438
Name:SIMAYS, ANDREW EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:EDWARD
Last Name:SIMAYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5128
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25361-0128
Mailing Address - Country:US
Mailing Address - Phone:304-424-2111
Mailing Address - Fax:
Practice Address - Street 1:209 WEST 27TH STREET
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3016
Practice Address - Country:US
Practice Address - Phone:910-738-8222
Practice Address - Fax:910-671-0846
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01051741A2085R0202X
WV290562085R0202X
NC2006-015462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5905234Medicaid
NC143XJOtherBLUE CROSS BLUE SHIELD
NC143XJOtherBLUE CROSS BLUE SHIELD
NC2058292Medicare PIN