Active NPI
John Taylor Symons, MD
- Addiction Medicine (Family Medicine) Physician
- Williamsburg, PA
National Provider Identifier
1659580348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- MD023792E
- Practice address
- 1 New Beginnings Road
Williamsburg, PA 16693 - Phone
- (814) 832-2131
- Fax
- (814) 832-2133
- NPI assigned
- May 21, 2007
- Reactivated
- Jun 2, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MD023792E | PA | Primary |
Addresses
Primary practice location
1 New Beginnings Road
Williamsburg, PA 16693
Mailing address
PO Box B
Williamsburg, PA 16693
Phone (814) 832-2131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106082 | Medicaid | PA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD023792E | PA | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1659580348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX B",
"city": "WILLIAMSBURG",
"state": "PA",
"postal_code": "16693",
"telephone_number": "814-832-2131",
"fax_number": "814-832-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NEW BEGINNINGS ROAD",
"city": "WILLIAMSBURG",
"state": "PA",
"postal_code": "16693",
"telephone_number": "814-832-2131",
"fax_number": "814-832-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYMONS",
"first_name": "JOHN",
"middle_name": "TAYLOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2008-06-02",
"deactivation_date": "2007-07-17",
"reactivation_date": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "PA",
"license": "MD023792E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106082",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.