Robert W. Simmons, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

CO 1849 Issued in CO

Practice address

1919 W US Highway 50
Pueblo, CO 81008-1618

Phone

(719) 253-7102

Fax

(719) 253-7114

NPI assigned

Jan 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pueblo Bone and Joint Clinic LLCGroup PAC ID 0244132066, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012
• Weisbrod Memorial County Hospital Hospital, Eads, CO, CCN 061300

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 and National Provider Directory roles.

• Pueblo Bone and Joint Clinic LLC

  • Orthopaedic Surgery Physician
  • Pueblo, CO
  • NPI 1568534642
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1306857974
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1841830452
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • Nursing Facility/Intermediate Care Facility
  • Pueblo, CO
  • NPI 1942391487

  Hospital

  Care Compare affiliation
• County of Kiowa Hospital District

  • Nursing Facility/Intermediate Care Facility
  • Eads, CO
  • NPI 1366452732

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1528039245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081618",
            "telephone_number": "719-253-7102",
            "fax_number": "719-253-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081618",
            "telephone_number": "719-253-7102",
            "fax_number": "719-253-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "CO 1849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82280771",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela M Sillas-Green
• Alfonso Manuel Silva, BA CAC I
• Heather Amber Silva
• Michael Gordon Silver, MD
• Dyna A Simmons, PT
• Matthew P. Simonich, MD
• James E Simony II, M.D.
• Simple Medicaid Ride LLC
• Simplified Telehealth LLC
• Amy Simpson

• Surgical Physician Assistant in Pueblo, CO
• Providers in Pueblo, 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 Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.