Active NPI
Garey S Simmonds, M.D.
- Plastic Surgery Physician
- Scottsdale, AZ
National Provider Identifier
1457453060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 23958
- Practice address
- 15721 N Greenway Hayden Loop
#201
Scottsdale, AZ 85260-1650 - Phone
- (480) 905-9211
- Fax
- (480) 905-0504
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 23958 | AZ | Primary |
Addresses
Primary practice location
15721 N Greenway Hayden Loop
#201
Scottsdale, AZ 85260-1650
Mailing address
15721 N Greenway Hayden Loop
#201
Scottsdale, AZ 85260-1650
Phone (480) 905-9211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370453-01 | Other | AZ | AHCSS |
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 |
|---|---|---|---|
| 23958 | AZ | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1457453060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15721 N GREENWAY HAYDEN LOOP",
"address_2": "#201",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601650",
"telephone_number": "480-905-9211",
"fax_number": "480-905-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15721 N GREENWAY HAYDEN LOOP",
"address_2": "#201",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601650",
"telephone_number": "480-905-9211",
"fax_number": "480-905-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONDS",
"first_name": "GAREY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "AZ",
"license": "23958",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCSS",
"identifier": "370453-01",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.