STACEY JOY SIMMONS (NPI# 1073680500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073680500 |
| Entity Type | Individual |
| Full Name | STACEY JOY SIMMONS |
| Credential | MD |
| Practice Address |
8268 164th St Jamaica NY 11432-1121 |
| Mailing Address |
7901 Broadway Managed Care D1-1 Elmhurst NY 11373-1329 |
| Practice Telephone | 7188833225 |
| Practice Fax Number | 7188836193 |
| Mailing Telephone | 7183341921 |
| Mailing Fax Number | 7183343432 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | P32424 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00246075 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495045 | Stacey M Simmons | Registered Nurse | 3368 Ashworth Ave, Highlands Ranch, CO 80126-7581 | 2017-02-02 |
| 1881927119 | Stacey Nicole Simmons | Social Worker | 8191 S Wood St, Midvale, UT 84047-7561 | 2009-09-18 |
| 1396234779 | Stacey Michelle Simmons | Occupational Therapist | 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3390 | 2018-05-01 |
| 1407359326 | Stacey Simmons | Marriage & Family Therapist | 2211 W Magnolia Blvd # 145, Burbank, CA 91506-1753 | 2018-03-16 |
| Street Address |
8268 164TH ST |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921814 | Richard Arena | Pharmacist | 8268 164th St, Jamaica, NY 11432-1140 | 2005-06-09 |
| 1598366379 | Yasir Ahmed | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-11-06 |
| 1881294551 | Toor P Noori | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-10-30 |
| 1588264592 | Joshua Beckhusen | Pharmacist | 8268 164th St, Jamaica, NY 11432-1104 | 2020-10-28 |
| 1235744376 | Tanvir Rahman | Pharmacist | 8268 164th St, Jamaica, NY 11432-1121 | 2020-09-15 |
| 1033724869 | Danielle Taylor Kleinhans | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1104 | 2020-09-09 |
| 1295346179 | Amanpreet Kaur | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-08-13 |
| 1093325490 | Jodiane Ashpole | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1121 | 2020-07-31 |
| 1497372551 | Jinjin Lin | Physician Assistant | 8268 164th St, Jamaica, NY 11432-1121 | 2020-07-06 |
| 1245856269 | Kiranjot Kaur | Student in an Organized Health Care Education/Training Program | 8268 164th St, Jamaica, NY 11432-1121 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740185 | Michael Jeremie Donaire | Surgery | 8629 Midland Pkwy, Jamaica, NY 11432-3041 | 2013-06-20 |
| 1255686085 | Ayodele O Atolagbe | Surgery | 14554 107th Ave, Jamaica, NY 11435-5240 | 2012-07-18 |
| 1417918343 | Jeffrey Chan | Surgery | 8906 135th St, Suite 2t, Jamaica, NY 11418-2821 | 2006-03-30 |
| 1588905103 | Katherine Mckenzie | Surgery | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2013-03-06 |
| 1497948087 | Grace A Montenegro | Surgery | 8268 164th St, Dept. of Surgery, Jamaica, NY 11432-1121 | 2007-08-27 |
| 1447471826 | Neil Montgomery Richards | Surgery | 15211 89th Ave, Jamaica, NY 11432-3730 | 2007-05-01 |
| 1790819084 | Amit Rohan Toor Joshi | Surgery | 8900 Van Wyck Expy, Jamaica Hospital--department of Surgery, Jamaica, NY 11418-2897 | 2007-03-16 |
| 1154469724 | Rebecca Lee | Surgery | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2007-02-03 |
| 1376689109 | Samir Dutta | Surgery | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2007-01-29 |
| 1124193164 | Feliciano Rolando Pascal-simpson | Surgery | 8268 164th St, Jamaica, NY 11432-1121 | 2006-11-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.