Active NPI
Gerald T Simmons
Doing business as Oswego Family Medicine
- Family Medicine Physician
- Oswego, NY
National Provider Identifier
1548281538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2116251
- Legal business name
- GERALD T SIMMONS
- Doing business as
- Oswego Family Medicine
- Practice address
- 11 4TH Ave
Suite F
Oswego, NY 13126-1852 - Phone
- (315) 342-7360
- Fax
- (315) 342-7620
- NPI assigned
- Jul 22, 2006
- Last updated
- Mar 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald Thomas Simmons, MD
- Title
- Physician
- Phone
- (315) 342-7360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2116251 | NY | Primary |
Addresses
Primary practice location
11 4TH Ave
Suite F
Oswego, NY 13126-1852
Mailing address
11 4TH Ave
Suite F
Oswego, NY 13126-1852
Phone (315) 342-7360
Other names 1
- Oswego Family Medicine
National Provider Directory
National Provider DirectoryLocations
11 4th Ave
Ste F
Oswego, NY 13126
Phone (315) 342-7360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1548281538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 4TH AVE",
"address_2": "SUITE F",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261852",
"telephone_number": "315-342-7360",
"fax_number": "315-342-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 4TH AVE",
"address_2": "SUITE F",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261852",
"telephone_number": "315-342-7360",
"fax_number": "315-342-7620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERALD T SIMMONS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "315-342-7360",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "2116251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oswego Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.