Jack Richard Simmons

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

26067 Willowbend Rd
Perrysburg, OH 43551-9111

Phone

(740) 814-7264

NPI assigned

Nov 26, 2020

Last updated

Nov 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1649874926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26067 WILLOWBEND RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519111",
            "telephone_number": "740-814-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26067 WILLOWBEND RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519111",
            "telephone_number": "740-814-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JACK",
        "middle_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel E. Shields, LISW-S
• Julie A Shine
• Stephanie Showers, CNP
• Ann Shreffler, LSW
• Anas Siddiqi, DPM
• Sarah E Simmons, LSW
• Maren Simon
• Hemindermeet Singh, M.D,
• Elizabeth Kristen Skaff, LISW
• Skin Care Experts LLC

• Non-emergency Medical Transport (VAN) in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2020; 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.