Organization Active NPI

Gerald T Simmons

Doing business as Oswego Family Medicine

  • Family Medicine Physician
  • Oswego, NY
National Provider Identifier
1548281538
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2116251 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.