Michael David Simmons, M.D.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

0101221496 Issued in VA

Practice address

1St Medical Group
77 Nealy Avenue
Langley Afb, VA 23665-2023

Phone

(757) 764-2109

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1962557298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST MEDICAL GROUP",
            "address_2": "77 NEALY AVENUE",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST MEDICAL GROUP",
            "address_2": "77 NEALY AVENUE",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652023",
            "telephone_number": "757-764-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0101221496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark William Sankey, M.D.
• Elsie Maria Schaszberger, RN
• Dana Schulz
• Geoffrey Sharpe, PA-C
• Frank Biddle Sherman Jr., D.D.S.
• Gerald Lee Smith, CRNA
• Ted Andrew Spiewak, D.O.
• Keiyata K Styerjames
• Charles S. Tedder II, MD, MPH
• Heather Mae Tellez, D.D.S.

• Aerospace Medicine Physician in Langley Afb, VA
• Providers in Langley Afb, VA by specialty
• Aerospace Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.