Organization Active NPI

Carolyn E. Simmons MD PC

Doing business as The Corner Doc, Inc.

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1083890255
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9151 Issued in NV
Legal business name
CAROLYN E. SIMMONS MD PC
Doing business as
The Corner Doc, Inc.
Practice address
890 Mill St
#200
Reno, NV 89502-1442
Phone
(775) 329-2444
Fax
(775) 329-2440
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Carolyn Elizabeth Simmons, MD
Title
President
Phone
(775) 329-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 9151 NV Primary

Addresses

Primary practice location

890 Mill St
#200
Reno, NV 89502-1442

Mailing address

890 Mill St
#200
Reno, NV 89502-1442
Phone (775) 329-2444

Other names 1

  • The Corner Doc, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

890 Mill St
Ste 200
Reno, NV 89502
Phone (775) 686-6336

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1083890255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 MILL ST",
            "address_2": "#200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021442",
            "telephone_number": "775-329-2444",
            "fax_number": "775-329-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 MILL ST",
            "address_2": "#200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021442",
            "telephone_number": "775-329-2444",
            "fax_number": "775-329-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN E. SIMMONS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-329-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Corner Doc, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.