Everett B. Simmons,Jr.,M.D.,P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

EVERETT B. SIMMONS,JR.,M.D.,P.C.

Practice address

20905 Greenfield Rd
607
Southfield, MI 48075-5360

Phone

(248) 557-3303

NPI assigned

Jun 12, 2012

Last updated

Jun 12, 2012By 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

Everett Bannaker Simmons Jr., MD

Title

Owner

Phone

(248) 557-3303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1861754152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD",
            "address_2": "607",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD",
            "address_2": "607",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755360",
            "telephone_number": "248-557-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT B. SIMMONS,JR.,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "BANNAKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-557-3303",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Yvonne Evans, MSW,LMSW
• Rachael Evans, LLP
• Ronda Yvonne Evans, LLPC
• Yvonne Renee Evans, R.N.
• Evelyn Holist Group (Aisha Counseling Services)
• Evergreen Consulting Physicians PC
• Evergreen Dental Care
• Evergreen Health and Rehabilitation Center, LLC (Evergreen Health and Living Center)
• Evergreen Home Health Care
• Emily Virginia Evers

• Dermatology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.