Diane A Evering-Simms, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Pecos, TX
NPI 1154476687 · NPPES record last updated Mar 30, 2012
Key facts
- NPI
- 1154476687
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- J5317 (TX)
- Practice address
- 200 Meadowbrook Dr
Pecos, TX 79772-6607 - Phone
- (432) 447-0565
- Fax
- (432) 447-0422
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Marshall Health Services Inc | Obstetrics & Gynecology | Past |
Accepting new patients |
Interoperability endpoints
- diane.everingsimms.p1@direct.gpspecialtyclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | J5317 | TX | Yes |
Addresses
Primary practice location
200 Meadowbrook Dr
Pecos, TX 79772-6607
Mailing address
2323 Texas St
Pecos, TX 79772-7338
Phone (432) 447-0565
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099318005 | Medicaid | TX |
Other providers in Pecos, TX
- Deitleman Health and Wellness
- Lori A Diaz
- Chibuikem Samuel Dimgba
- Brittney J Dye
- John Thayer Edmondson
- Jerry F Giardina
- Roberto Gomez Jr.
- Tamara M Goodliffe
- Guadalupe County Hospital Board
- Guardian Health Systems Pecos
All providers in Pecos, TX · Obstetrics & Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.