Active NPI
Milton Foss Simmons, M.D.
- Specialist
- Southfield, MI
National Provider Identifier
1710155627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301O24966
- Practice address
- 18658 George Washington Dr
Southfield, MI 48075-2552 - Phone
- (248) 569-0404
- Fax
- (248) 569-0536
- NPI assigned
- Feb 13, 2008
- Last updated
- Feb 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301O24966 | MI | Primary |
| Family Medicine Physician | 207Q00000X | 4301024966 | MI |
Addresses
Primary practice location
18658 George Washington Dr
Southfield, MI 48075-2552
Mailing address
18658 George Washington Dr
Southfield, MI 48075-2552
Phone (248) 569-0404
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301O24966 | MI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1710155627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18658 GEORGE WASHINGTON DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752552",
"telephone_number": "248-569-0404",
"fax_number": "248-569-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18658 GEORGE WASHINGTON DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752552",
"telephone_number": "248-569-0404",
"fax_number": "248-569-0536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "MILTON",
"middle_name": "FOSS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301O24966",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301024966",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.