Mark E. Simmons, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0616 Issued in NH

Practice address

Hospitalist Program - Elliot Hospital
One Elliot Way
Manchester, NH 03103

Phone

(603) 663-2271

Fax

(603) 663-2273

NPI assigned

Jan 29, 2007

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mark.simmons@direct.smhc.mainehealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elliot Professional Services

  • Psychiatry Physician
  • Manchester, NH
  • NPI 1669431466
  NPD (past)
• Expressmed, LLC

  • Urgent Care Clinic/Center
  • Manchester, NH
  • NPI 1407385602
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1376689356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HOSPITALIST PROGRAM - ELLIOT HOSPITAL",
            "address_2": "ONE ELLIOT WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03103",
            "telephone_number": "603-663-2271",
            "fax_number": "603-663-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITALIST PROGRAM - ELLIOT HOSPITAL",
            "address_2": "ONE ELLIOT WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03103",
            "telephone_number": "603-663-2271",
            "fax_number": "603-663-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MARK",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Silveira
• Elizabeth Silver, BA
• Jessica Silvers, LICSW
• Kimberly Silvestri, LCPC, LMHC
• James Frederick Simcox, MBA, LCMHC, MLADC
• Georgina Simone, LCMHC, MLADC
• Joselyne Simonson, MA
• Madeline Simpson, LCMHC
• Jennifer Sims, MED, ATC
• Kye Christina Sims, MED

• Physician Assistant in Manchester, NH
• Providers in Manchester, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.