Deja Marie Simmons, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2076 Issued in CO

Practice address

4950 S Yosemite St
F2-242
Greenwood Village, CO 80111-1349

Phone

(303) 808-6282

Fax

(720) 519-1471

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Deja Marie Trojan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Simmons Surgical Services LLC

  • Surgical Physician Assistant
  • Denver, CO
  • NPI 1538459391
  Authorized official Same address or phone

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1275751315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 E LEHIGH DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371534",
            "telephone_number": "303-808-6282",
            "fax_number": "720-519-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 S YOSEMITE ST",
            "address_2": "F2-242",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111349",
            "telephone_number": "303-808-6282",
            "fax_number": "720-519-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DEJA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2076",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 9104225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEJA",
            "last_name": "TROJAN",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Silvertree Counseling PLLC
• Silvertree Counseling PLLC
• Julianne Kyeong Simenson, LCSW
• Jade Lauren Simmonds
• Amy Simmons, CCC-A/SLP
• Suzanne Simmons, MD
• Zoe R Simmons, PT, DPT
• Jeremy Simon, LMT
• Khumbo Takura Sipiriano, CPTA
• Kelsey Sipka, MS CCC-SLP

• Surgical Physician Assistant in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.