Individual provider Active NPI

Edwina E Simmons, MD

  • Obstetrics & Gynecology Physician
  • Middleburg Heights, OH
National Provider Identifier
1073502589
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35056075 Issued in OH
Practice address
7225 Old Oak Blvd
Suite B311
Middleburg Heights, OH 44130-3339
Phone
(440) 895-5056
Fax
(440) 333-2935
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35056075 OH Primary

Addresses

Primary practice location

7225 Old Oak Blvd
Suite B311
Middleburg Heights, OH 44130-3339

Mailing address

24651 Center Ridge Rd
Suite 350
Westlake, OH 44145-5635
Phone (440) 895-5056

Other identifiers 2

IdentifierTypeStateIssuer
P00111439OtherOHRR MEDICARE
0703037MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000060 OH Practitioner - Obstetrics/Gynecology 5193776177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35056075OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Past Accepting new patients

Locations

8300 Hough Ave
Cleveland, OH 44103
Phone (216) 231-7700

4800 Payne Ave
Cleveland, OH 44103
Phone (216) 231-7700

13301 Miles Ave
Cleveland, OH 44105
Phone (216) 751-3100

12100 Superior Ave
Cleveland, OH 44106
Phone (216) 851-2600

15201 Euclid Ave
East Cleveland, OH 44112
Phone (216) 541-5600

Interoperability endpoints

  • Direct secure messaging: edwina.simmonsmd.p1@direct.neon.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1073502589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24651 CENTER RIDGE RD",
            "address_2": "SUITE 350",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455635",
            "telephone_number": "440-895-5056",
            "fax_number": "440-333-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "SUITE B311",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-895-5056",
            "fax_number": "440-333-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "EDWINA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35056075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00111439",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0703037",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.