Provider Demographics
NPI:1609898667
Name:SIMES, REBECCA S (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:S
Last Name:SIMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:S
Other - Last Name:SIMES
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1460
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22402-1460
Mailing Address - Country:US
Mailing Address - Phone:540-786-2100
Mailing Address - Fax:540-786-0677
Practice Address - Street 1:4701 SPOTSYLVANIA PKWY
Practice Address - Street 2:SUITE 205
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-9435
Practice Address - Country:US
Practice Address - Phone:540-834-5430
Practice Address - Fax:540-834-5431
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101102732208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA34113OtherCARENET #
VA296685OtherOPT CHOICE/MDIPA/MAMSI #
VA542039043OtherPRIVATE HEALTHCARE SYSTEM
VA542039043OtherVIRGINIA HEALTH NETWORK #
VA542039043OtherUNITED HEALTHCARE #
VA505725OtherNCPPO
VA542039043OtherCIGNA #
VA143040OtherSOUTHERN HEALTH #
VA542039043OtherAETNA #
VA6701086Medicaid
VA218746OtherANTHERM BCBS PROVIDER #
VA296685OtherALLIANCE NUMBER
VA40919OtherSENTARA/OPTIMA HEALTH #
VAH43022Medicare UPIN