Active NPI
Mary A. Simmonds, MD
- Hematology & Oncology Physician
- Camp Hill, PA
National Provider Identifier
1356333751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD-018007-E
- Practice address
- 3912 Trindle Road
Camp Hill, PA 17011-4246 - Phone
- (717) 761-8740
- Fax
- (717) 761-8792
- NPI assigned
- Aug 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD-018007-E | PA | Primary |
Addresses
Primary practice location
3912 Trindle Road
Camp Hill, PA 17011-4246
Mailing address
3912 Trindle Road
Camp Hill, PA 17011-4246
Phone (717) 761-8740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009855260006 | Medicaid | PA | |
| 0008075330006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-018007-E | PA | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1356333751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3912 TRINDLE ROAD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114246",
"telephone_number": "717-761-8740",
"fax_number": "717-761-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3912 TRINDLE ROAD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114246",
"telephone_number": "717-761-8740",
"fax_number": "717-761-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONDS",
"first_name": "MARY",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD-018007-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009855260006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008075330006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.