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Deactivated NPI 1790009744 Deactivated / Inactive NPI Male Practitioner

Dr. Roger D Simkin , MD

Pediatrics • Socorro, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roger Simkin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 19, 2010
NPI Deactivation Date April 29, 2019
Total Practice Duration ~9 Years of Practice (2010 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Simkin, MD was a registered Pediatrics practicing in Socorro, NM. Throughout an active medical career spanning 9 years, Dr. Simkin provided care at the practice location at 1204 HWY 60 WEST until profile deactivation on 2019-04-29.

Practice Location & Contact Primary Location

Practice Address

1204 Hwy 60 West

Socorro, NM 878013914

Telephone 5758384690
Fax 5758384689
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Socorro, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Socorro, NM (471 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NM MD2009-0007

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Martha Mcgowan , LCSW

Social Worker - Clinical

NPI 1013507573

Licensed Clinical Social Worker

Dr. Darla Bejnar , MD

Family Medicine

NPI 1104980572

Doctor of Medicine (M.D.)

Tina Vallejos

Physical Therapy Assistant

NPI 1114855491
Shelby Manno , CPNP

Nurse Practitioner - Pediatrics

NPI 1215655287

Certified Pediatric Nurse Practitioner

Tana Hudson , LISW

Social Worker - Clinical

NPI 1245500974

Licensed Independent Social Worker

NPI 1316948706

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 29, 2019

Record deactivated on April 29, 2019

NPI Profile Active March 19, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 19, 2010

Registered at 1204 HWY 60 WEST, SOCORRO, NM 878013914 (Tel: 5758384690)

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Updated Business Mailing Address March 19, 2010

Registered at PHS PROVIDER ENROLLMENT, PO BOX 26666, ALBUQUERQUE, NM 871256666 (Tel: 5059235364)

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Provider Name / Credentials Updated March 19, 2010

Recorded as ROGER SIMKIN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2010

Pediatrics (License #MD2009-0007 in NM)

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Initial NPI Registration & Enumeration March 19, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790009744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2010
Last Update: March 19, 2010
Deactivation Date: April 29, 2019

Mailing Address

Phs Provider Enrollment, Po Box 26666

Albuquerque, NM 871256666

Phone: 5059235364

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.