Provider Demographics
NPI:1265095947
Name:SIMSON, JOSHUA EMANUEL
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:EMANUEL
Last Name:SIMSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 S YALE AVE STE 525
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-7485
Mailing Address - Country:US
Mailing Address - Phone:918-392-4547
Mailing Address - Fax:
Practice Address - Street 1:5110 S YALE AVE STE 525
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7485
Practice Address - Country:US
Practice Address - Phone:918-392-4547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS7343207X00000X
TN68497207XX0801X
390200000X
OK45827207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program