NPIMap

Organization Active NPI

Michael R. Simmons, MD

  • Medical Specialty Clinic/Center
  • Timonium, MD
National Provider Identifier
1144769530
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D0030190 Issued in MD
Legal business name
MICHAEL R. SIMMONS, MD
Practice address
57 W Timonium Rd
Suite 208
Timonium, MD 21093-3125
Phone
(410) 252-6400
NPI assigned
Feb 17, 2017
Last updated
Feb 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Dr. Michael R SimmonsNPI 1104931328
Title
Owner
Phone
(410) 252-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D0030190 MD Primary

Addresses

Primary practice location

57 W Timonium Rd
Suite 208
Timonium, MD 21093-3125

Mailing address

57 W Timonium Rd
Suite 208
Timonium, MD 21093-3125

National Provider Directory

National Provider Directory

Locations

57 W Timonium Rd
Ste 208
Timonium, MD 21093
Phone (410) 252-6400

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1144769530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W TIMONIUM RD",
            "address_2": "SUITE 208",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W TIMONIUM RD",
            "address_2": "SUITE 208",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933125",
            "telephone_number": "410-252-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. SIMMONS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-252-6400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0030190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.