Organization Active NPI

Donald R Simmons MD LLC

  • Family Medicine Physician
  • Bartlesville, OK
National Provider Identifier
1811753395
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DONALD R SIMMONS MD LLC
Practice address
1244 Woodland Loop
Bartlesville, OK 74006-5224
Phone
(918) 335-3222
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Dr. Donald Rae Simmons, MDNPI 1578556601
Title
Sole Member/Physician
Phone
(940) 902-3411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1244 Woodland Loop
Bartlesville, OK 74006-5224

Mailing address

1175 S Aspen Ave Ste K
Broken Arrow, OK 74012-4800
Phone (833) 524-2400

Other practice location 1

4605 Price Rd
Bartlesville, OK 74006-7237
Phone (918) 876-3700

Other practice location 2

2633 SE Mission Dr
Bartlesville, OK 74006-7561
Phone (918) 213-0501

Other practice location 3

1025 Swan Dr
Bartlesville, OK 74006-5039
Phone (918) 335-2086

Other practice location 4

2450 N Stone Ridge Dr
Broken Arrow, OK 74012-2749
Phone (918) 940-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240328001332 OK Part B Supplier - Clinic/Group Practice 6406293240 Receives reassigned benefits from 1 practitioner
Practice locations: Bartlesville, OK; Broken Arrow, OK

National Provider Directory

National Provider Directory

Locations

4605 Price Rd
Bartlesville, OK 74006
Phone (918) 876-3700

2450 N Stone Ridge Dr
Broken Arrow, OK 74012
Phone (918) 304-8119

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1811753395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 S ASPEN AVE STE K",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124800",
            "telephone_number": "833-524-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 WOODLAND LOOP",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065224",
            "telephone_number": "918-335-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 Price Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740067237",
            "country_code": "US",
            "telephone_number": "918-876-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2633 SE Mission Dr",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740067561",
            "country_code": "US",
            "telephone_number": "918-213-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Swan Dr",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740065039",
            "country_code": "US",
            "telephone_number": "918-335-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 N Stone Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740122749",
            "country_code": "US",
            "telephone_number": "918-940-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DONALD R SIMMONS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "SOLE MEMBER/PHYSICIAN",
        "authorized_official_telephone_number": "940-902-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.