Robert Simmons, MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

04-16867 Issued in KS

Legal business name

ROBERT SIMMONS, MD

Practice address

4930 NW 12TH St
Newton, KS 67114-8609

Phone

(316) 283-6782

Fax

(316) 283-6782

NPI assigned

Jul 17, 2007

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Earle Simmons, MD

Title

Owner

Phone

(316) 283-6782

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1831398072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 NW 12TH ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148609",
            "telephone_number": "316-283-6782",
            "fax_number": "316-283-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 NW 12TH ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148609",
            "telephone_number": "316-283-6782",
            "fax_number": "316-283-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SIMMONS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EARLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-283-6782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "04-16867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Newton, KS
• Providers in Newton, KS by specialty
• Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.