Active NPI
Scott Simmons, MD
- Family Medicine Physician
- Creve Coeur, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2009007879
- Practice address
- 11445 Olive Blvd
Creve Coeur, MO 63141-7108 - Phone
- (314) 428-9543
- Fax
- (314) 428-9542
- NPI assigned
- May 15, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2009007879 | MO | |
| Family Medicine Physician | 207Q00000X | 2009007879 | MO | Primary |
Addresses
Primary practice location
11445 Olive Blvd
Creve Coeur, MO 63141-7108
Mailing address
11445 Olive Blvd
Creve Coeur, MO 63141-7108
Phone (314) 428-9543
Other practice location 1
1000 Webster Street
Mexico, MO 65265
Phone (573) 581-2348
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssimmons@hannibalclinic.directbygreenway.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman-Oak Hill Health System | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Family Medicine | Current | Accepting new patients |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients | |
| Professional Emergency Specialists of Southern Ohio | Emergency Medicine | Past | Accepting new patients |
| Professional Emergency Specialists of Southern Ohio | Emergency Medicine | Past | Accepting new patients |
Locations
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
1130 E 32nd St
Joplin, MO 64804
Phone (417) 347-2273
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
11445 Olive Blvd
Saint Louis, MO 63141
Phone (314) 428-9543
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
- ssimmons@hannibalclinic.directbygreenway.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Freeman Health System
- General Acute Care Hospital
- Joplin, MO
- NPI 1891809679
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
dba Freeman Physician Group
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
Family Medicine
-
dba Blessing Health Monroe City
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Emergency Medicine Physician
- Wilmington, OH
- NPI 1356329890
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1639157175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1740496199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11445 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417108",
"telephone_number": "314-428-9543",
"fax_number": "314-428-9542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11445 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417108",
"telephone_number": "314-428-9543",
"fax_number": "314-428-9542"
}
],
"practiceLocations": [
{
"address_1": "1000 Webster Street",
"address_purpose": "LOCATION",
"city": "Mexico",
"state": "MO",
"postal_code": "65265",
"country_code": "US",
"telephone_number": "573-581-2348",
"fax_number": "573-581-9447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2009007879",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2009007879",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssimmons@hannibalclinic.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1000 Webster Street",
"city": "Mexico",
"state": "MO",
"country_code": "US",
"postal_code": "65265",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.