DR. MARK D SIMMS (NPI# 1154373918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154373918 |
| Entity Type | Individual |
| Full Name | DR. MARK D SIMMS |
| Credential | MD |
| Practice Address |
13800 W North Ave Child Development Center of Chw Brookfield WI 53005-4977 |
| Practice Telephone | 2624326600 |
| Practice Fax Number | 2624326604 |
| Mailing Telephone | 2624326600 |
| Mailing Fax Number | 2624326604 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
35801 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1154373918 | 05 | |
| HUMANA | 002000135Z | 01 |
| Street Address |
13800 W NORTH AVE CHILD DEVELOPMENT CENTER OF CHW |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849011 | Affiliated Dermatologists Sc | Dermatology | 13800 W North Ave, Suite 100, Brookfield, WI 53005-4974 | 2005-08-30 |
| 1992145619 | Po Ann Cheah | Psychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2013-06-26 |
| 1457797102 | Melanie J Yang | Speech-Language Pathologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2013-05-21 |
| 1558639203 | Sarah Rysdyk | Psychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2011-12-08 |
| 1164721536 | Amy L Mack Sindelar | Speech-Language Pathologist | 13800 W North Ave, Child Development Center, Brookfield, WI 53005-4977 | 2011-03-24 |
| 1750513537 | Sara K Quates | Nurse Practitioner | 13800 W North Ave, Child Development Center, Brookfield, WI 53005-4977 | 2009-08-13 |
| 1326290115 | Samantha L. Wilson | Psychologist | 13800 W North Ave, Child Development Center, Brookfield, WI 53005-4977 | 2008-10-13 |
| 1427121979 | Sun Young Ruggeri | Dermatology | 13800 W North Ave, Ste 100, Brookfield, WI 53005-4974 | 2006-11-15 |
| 1235173030 | Jane J Mcsweeney | Nurse Practitioner | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-06-15 |
| 1326092230 | Dawn M Zahrt | Psychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164740973 | Traci Diane Swink | Pediatrics | 105 W 5th St, Marshfield, WI 54449-2819 | 2010-05-04 |
| 1003974718 | Norris Glick | Pediatrics | 317 Knutson Drive, Madison, WI 53704-1197 | 2006-12-05 |
| 1851320360 | Jeffrey Neale Seltz | Pediatrics | 317 Knutson Dr, Madison, WI 53704-1133 | 2006-06-30 |
| 1477555605 | Nelleen G Noack | Pediatrics | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-01 |
| City | BROOKFIELD |
| Zip Code | 53005 |
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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.