PETER SIMMONS


Address: 1411 S Creasy Ln, Suite 130, Lafayette, IN 47905-7438
Phone: 7654477447

PETER SIMMONS (NPI# 1265636575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265636575
Entity Type Individual
Full Name PETER SIMMONS
Credential MD
Practice Address 1411 S Creasy Ln
Suite 130
Lafayette
IN 47905-7438
Mailing Address Po Box 4699
Lafayette
IN 47903-4699
Practice Telephone 7654477447
Practice Fax Number 7654471767
Mailing Telephone 7654492732
Mailing Fax Number 7654491196
Enumeration Date 2007-06-12
Last Update Date 2020-06-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
01067700A IN Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
A99981 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200973600 05
CA 00A999810 05

Other Providers PETER SIMMONS

NPI Name Taxonomy Address Enumeration
1265589659 Peter J. Simmons Chiropractor 800 Convery Blvd, Perth Amboy, NJ 08861-2584 2007-01-05

Office Location

Street Address 1411 S CREASY LN
SUITE 130
City LAFAYETTE
State IN
Zip Code 47905-7438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922095769 Michael D Krauss Internal Medicine 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 2005-10-05
1174058507 Lisa M Smith Specialist/Technologist, Other 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 2017-04-24
1255887600 Emily Martin Physical Therapy Assistant 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 2016-08-26
1881148708 Rebecah Gray Specialist/Technologist, Other 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 2016-08-09
1306294772 Erica Zartman Physical Therapist 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 2016-05-26
1689053779 Gusta Michelle Owens Specialist/Technologist 1411 S Creasy Ln, Ste 120, Lafayette, IN 47905-7438 2015-05-22
1285024273 Mary Ritter Occupational Therapist 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 2015-01-28
1275933707 Danielle Smith Amos Physical Therapy Assistant 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 2014-09-03
1275957938 Sara E Blasing Physical Therapist 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 2014-02-14
1144642612 Jessica Baumetz Dpt Physical Therapist 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 2014-01-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538719893 Elements Counseling LLC Social Worker 115 N. Farabee Drive, Lafayette, IN 47905 2019-09-18
1134596869 Indiana Dental Sleep Therapy LLC Dentist 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 2015-08-28
1255750899 Emily S Miller Physical Therapist 1701 Creasy Ln, Lafayette, IN 47905 2014-04-10
1073876215 Nathan Webster Dentist 1530 Kossuth St., Lafayette, IN 47905 2012-06-22
1578848370 Mark Jin Kim Pharmacist 1801 South St., Lafayette, IN 47905 2011-10-13
1700177185 Shannon Tawn Harris Speech-Language Pathologist 8900 Cobbler Lane, Lafayette, IN 47905 2011-04-20
1508164484 David Thomas Beine Specialist/Technologist 1321 Unity Pl Ste A, Lafayette, IN 47905 2011-03-02
1447569538 Deidre Dudley Nurse Practitioner 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 2010-10-07
1548493067 Unity Healthcare, LLC Podiatrist 750 Park East Blvd, Unit 4, Lafayette, IN 47905 2009-09-01
1073762969 Lynette Marie Alexander Nurse Practitioner 5500 St Rd. 38 East, Lafayette, IN 47905 2008-09-16
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588295448 Hassan Sawaf Radiology 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 2020-01-30
1801383245 St Marys Imaging Center II Radiology 4809 Ambassador Caffery Pkwy Ste 350, Lafayette, LA 70508-8801 2018-04-20
1578937744 Modesto Radiological Medical Group Radiology 2283 Hidden Pond Ln, Lafayette, CA 94549-1742 2015-11-25
1629411210 Lowell David Froker Radiology 32 Olympic Oaks Dr, Lafayette, CA 94549-4800 2013-04-12
1386987196 Imaging Partners Medical Group Radiology 3976 Canyon Rd, Lafayette, CA 94549-2702 2013-03-29
1982946562 Rachael Lane Guillory Radiology 1811 Dulles Dr, Lafayette, LA 70506-3724 2013-03-21
1578811386 Maurice Louis Bercier Radiology 309 Steiner Road, Lafayette, LA 70508 2012-08-28
1295024222 Lourdes Imaging Center LLC Radiology 4809 Ambassador Caffery Parkway, Suite 350, Lafayette, LA 70508 2011-03-30
1467784744 Delano Zeus Arvin Radiology 6233 N 700 E, Lafayette, IN 47905-9761 2010-02-11
1003045287 Professional Radiology Network Tlc-prn, LLC Radiology 107 Kempton Dr, Lafayette, LA 70508-6547 2009-07-08
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Competitor

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City LAFAYETTE
Zip Code 47905

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Dataset Information

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.

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