John R Simmons, DO

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

03050 Issued in KY

Practice address

793 Eastern Byp
G2
Richmond, KY 40475-2422

Phone

(859) 626-0074

Fax

(859) 626-3265

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsimmons1648400@fairview.direct-ci.com
• Direct secure messaging: john.simmons@marshfieldclinichealthsystem.cernerdirect.com

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.

• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment NPD
• Avera Queen of Peace

  • Hospitalist Physician
  • Mitchell, SD
  • NPI 1205359031
  Medicare reassignment NPD
• Avera Queen of Peace

  • Critical Access Hospital
  • Mitchell, SD
  • NPI 1992466635
  Medicare reassignment NPD
• Avera St Marys

  • General Acute Care Hospital
  • Pierre, SD
  • NPI 1669457180
  Medicare reassignment NPD
• Avera McKennan

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  • Radiation Oncology Physician
  • Sioux Falls, SD
  • NPI 1477847861
  NPD
• Avera Queen of Peace

  • Diagnostic Radiology Physician
  • Mitchell, SD
  • NPI 1053827634
  NPD
• Avera Queen of Peace

  • Critical Access Hospital
  • Wessington Springs, SD
  • NPI 1316942204
  NPD
• Avera St Marys

  • Emergency Medicine Physician
  • Pierre, SD
  • NPI 1073305496
  NPD
• Avera St. Mary'S

  • Physical Therapist
  • Pierre, SD
  • NPI 1972082683
  NPD
• Lancaster Radiation Oncology, Inc.

  • Radiation Oncology Physician
  • Lancaster, OH
  • NPI 1205837663
  NPD (past)
• Newark Oncology

  • Radiation Oncology Physician
  • Newark, OH
  • NPI 1760220347
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1689760944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 EASTERN BYP",
            "address_2": "G2",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752422",
            "telephone_number": "859-626-0074",
            "fax_number": "859-626-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 EASTERN BYP",
            "address_2": "G2",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752422",
            "telephone_number": "859-626-0074",
            "fax_number": "859-626-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "34.008732",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ND",
            "license": "10311",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KY",
            "license": "03050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100024870",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082508",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "PO1231527",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Ashley Short, APRN
• Sherri Jo Short
• Ty Shouse
• Franklin Sibert, LCSW
• Sight Savers Family Eye Care PLLC
• Marcel Simo, ARNP
• Leah Shea Simpkins, OTD, OTR/L, CPAM
• Richard Joseph Simpson, D.C
• Victoria Sims, LPCA
• Abigail Nicole Sirrine

• Radiation Oncology Physician in Richmond, KY
• Providers in Richmond, KY by specialty
• Radiation Oncology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.