Eric Randell Simmons

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

1588826 Issued in MI

Practice address

1410 S Telegraph Rd
Bloomfield Hills, MI 48302-0046

Phone

(248) 451-3743

NPI assigned

May 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1336631944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W HURON ST STE 204",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422191",
            "telephone_number": "248-797-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S TELEGRAPH RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020046",
            "telephone_number": "248-451-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ERIC",
        "middle_name": "RANDELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MI",
            "license": "1588826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bruce Siegel, M.D., M.P.H.
• Sharon Cohen Siegel, M.D.
• Lynn Marie Sikorski, D.O.
• Michael H Sikorsky, DO
• Marvin D Silver, MD
• Alexis N Simon, SLP-CF
• Lee Simon, PT, DPT
• Deborah Simpson
• Bessie Sims
• Stanford Alvin Singer, MD

• Basic Emergency Medical Technician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Basic Emergency Medical Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.