Active NPI
Terrill H Simmons, MD
- Orthopaedic Surgery Physician
- Owasso, OK
National Provider Identifier
1902866825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 9335
- Practice address
- 12455 E 100TH St N
Suite 260
Owasso, OK 74055-4674 - Phone
- (918) 272-9464
- Fax
- (918) 274-5569
- NPI assigned
- Mar 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 9335 | OK | Primary |
Addresses
Primary practice location
12455 E 100TH St N
Suite 260
Owasso, OK 74055-4674
Mailing address
4802 S 109TH E Avenue
Tulsa, OK 74146
Phone (918) 392-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731001289002 | Other | OK | BLUE SHIELD OF OKLAHOMA |
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 |
|---|---|---|---|
| 9335 | OK | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Bone & Joint Associates PC | Orthopaedic Surgery | Past | Accepting new patients |
| Osu Health System Anesthesia | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1154373132
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1174581185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1902866825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 S 109TH E AVENUE",
"city": "TULSA",
"state": "OK",
"postal_code": "74146",
"telephone_number": "918-392-1400",
"fax_number": "918-392-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12455 E 100TH ST N",
"address_2": "SUITE 260",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554674",
"telephone_number": "918-272-9464",
"fax_number": "918-274-5569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "TERRILL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "9335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF OKLAHOMA",
"identifier": "731001289002",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.