Annamieka Simmons Conway, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

16018 Issued in NV

Practice address

1104 N Division St
Carson City, NV 89703-3803

Phone

(775) 882-9123

NPI assigned

Sep 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Merit-based Incentive Payment System (MIPS)

Final score

75.06 of 100Reported as group

Quality

83.97

Promoting interoperability

88

Improvement activities

40

Cost

42.89

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tahoe Forest Hospital District

  • Critical Access Hospital
  • Incline Village, NV
  • NPI 1801957667
  Medicare reassignment NPD

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1699026427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N DIVISION ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033803",
            "telephone_number": "775-882-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N DIVISION ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033803",
            "telephone_number": "775-882-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "ANNAMIEKA",
        "middle_name": "SIMMONS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "16018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100543025",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concentra Health Services, Inc.
• Maria Condella, RPH
• Connections Behavioral Health Center
• Lynnette Conrad, PA-C
• Constance Sheltren, PH.D.
• Darlene Cook
• Donny William Cook, CADC INTERN, 01592-I
• Conner Cooley Nichols
• John A Coombs, DDS
• Ryan Patrick Coombs, D.D.S.

• Ophthalmology Physician in Carson City, NV
• Providers in Carson City, NV by specialty
• Ophthalmology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.