NPIMap

Individual provider Active NPI

Craig Glenn Simons, D.O.

  • Internal Medicine Physician
  • Marshall, MO
National Provider Identifier
1073568846
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2001019072 Issued in MO
Practice address
2305 South 65 Highway
Marshall, MO 65340
Phone
(660) 886-7431
Fax
(660) 831-3314
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2001019072 MO
Internal Medicine Physician 207R00000X 2001019072 MO Primary

Addresses

Primary practice location

2305 South 65 Highway
Marshall, MO 65340

Mailing address

113 NE Nightshade Ave
Lees Summit, MO 64086-8428
Phone (816) 525-0135

Other practice location 1

100 Central St
Chillicothe, MO 64601-1554
Phone (660) 646-1480

Other identifiers 2

IdentifierTypeStateIssuer
508993300MedicaidMO
245865902MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CREIGSIMONS@fitzgibbon.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040325000953 MO Practitioner - Emergency MedicinePractitioner - Internal Medicine 4082506050 Reassigns benefits to 1 organization
I20090312000395 IA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 4082506050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer Municipal HospitalGroup PAC ID 4183533060, 95 clinicians

Practice addresses (Care Compare)

1200 1St Ave E
Spencer, IA 51301-4330

1200 1St Ave E
Spencer, IA 51301-4342
Phone (712) 264-6198

1200 1St Ave E C
Nwia Bone Joint and Sports Surgeons
Spencer, IA 51301-4342
Phone (712) 262-7511

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll County Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Spencer Municipal Hospital CurrentSince Aug 1, 2022 Accepting new patients
Spencer Municipal Hospital CurrentSince Aug 1, 2022 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients
Northwest Iowa Dermatology LLC Past Accepting new patients
Golden Valley Emergency Physicians, LLC Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Past Accepting new patients

Locations

2004 Okoboji Ave
Milford, IA 51351
Phone (712) 338-2461

101 E 10th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

1200 1st Ave E
Ste 1
Spencer, IA 51301
Phone (712) 264-6160

1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

Interoperability endpoints

  • Direct secure messaging: creigsimons@fitzgibbon.cernerdirect.com
  • Direct secure messaging: craig.simons@avera.sdhealthlink.net

Organizations & group practices 11

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

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1073568846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NE NIGHTSHADE AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640868428",
            "telephone_number": "816-525-0135",
            "fax_number": "816-525-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SOUTH 65 HIGHWAY",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "65340",
            "telephone_number": "660-886-7431",
            "fax_number": "660-831-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Central St",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "MO",
            "postal_code": "646011554",
            "country_code": "US",
            "telephone_number": "660-646-1480",
            "fax_number": "660-747-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "CRAIG",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2001019072",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001019072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508993300",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245865902",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CREIGSIMONS@fitzgibbon.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Creig Simons John Fitzgibbon Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2305 South 65 Highway",
            "city": "Marshall",
            "state": "MO",
            "country_code": "US",
            "postal_code": "65340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

Verify at the official NPI Registry.