Simmons Medical Clinic, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

04-24193 Issued in KS

Legal business name

SIMMONS MEDICAL CLINIC, P.A.

Practice address

1026 N Highway 69
Frontenac, KS 66763-8100

Phone

(620) 231-9669

Fax

(620) 231-4585

NPI assigned

Sep 20, 2006

Last updated

Dec 28, 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

Dr. Michael R Simmons, M.D.

Title

Medical Director

Phone

(620) 231-9669

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Michael Brent Barone, ARNPC

  • Adult Health Nurse Practitioner
  • Parsons, KS
  • NPI 1467402487
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1942307285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "FRONTENAC",
            "state": "KS",
            "postal_code": "667630999",
            "telephone_number": "620-231-9669",
            "fax_number": "620-231-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 N HIGHWAY 69",
            "city": "FRONTENAC",
            "state": "KS",
            "postal_code": "667638100",
            "telephone_number": "620-231-9669",
            "fax_number": "620-231-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS MEDICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "620-231-9669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KS",
            "license": "04-24193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100151280B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "058129",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medicalodges, Inc. (Medicalodges Frontenac)
• Megan Rene Morris, ARNP
• Pamela Sue Murphy, ARNP
• Oakview Estates
• Jill S Pile
• Patricia L. Sullivan, APRN
• William J Sullivan, D.O.
• Sunset Manor, Inc
• Usd249 Frontenac
• Alexa Anahi Vaquiz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.