Active NPI
Oliver P. Simmons, M.D.
- Plastic Surgery Physician
- Miami, FL
National Provider Identifier
1992723183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME138195
- Practice address
- 1790 SW 27TH Ave
Miami, FL 33145-2418 - Phone
- (305) 330-2434
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME138195 | SC | |
| Pediatric Otolaryngology Physician | 207YP0228X | ME138195 | SC | |
| Plastic Surgery Physician | 208200000X | ME138195 | SC | Primary |
Addresses
Primary practice location
1790 SW 27TH Ave
Miami, FL 33145-2418
Mailing address
1790 SW 27TH Ave
Miami, FL 33145-2418
Phone (305) 330-2434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331867 | Medicaid | SC |
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 |
|---|---|---|---|
| ME138195 | SC | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739059200000",
"number": "1992723183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 SW 27TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331452418",
"telephone_number": "305-330-2434",
"fax_number": "305-330-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 SW 27TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331452418",
"telephone_number": "305-330-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "OLIVER",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2025-02-09",
"certification_date": "2025-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "SC",
"license": "ME138195",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "SC",
"license": "ME138195",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "SC",
"license": "ME138195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "331867",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.