MRS. SHIRLEY SIMMONS (NPI# 1386678035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386678035 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY SIMMONS |
| Other Name | MS. SHIRLEY HICKMAN |
| Credential | PA-C |
| Practice Address |
1200 J D Anderson Dr Monongalia General Hospital Morgantown WV 26505-3494 |
| Mailing Address |
Po Box 1615 Monongalia General Hospital Morgantown WV 26507-1615 |
| Practice Telephone | 3045981200 |
| Practice Fax Number | 3045981457 |
| Mailing Telephone | 3045981200 |
| Mailing Fax Number | 3045981457 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01043 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | PA-C LICENSE | 1043 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 273 Skidmore Ln, Sutton, WV 266019272 | 3047654400 | 3047657019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548365 | Shirley Simmons | Technician | 295 Pierce-benbush Road, Thomas, WV 26292-0389 | 2019-09-26 |
| 1902155245 | Shirley Simmons | Counselor | 2295 S Hiawassee Rd # 201-1, Orlando, FL 32835-8746 | 2012-08-31 |
| 1225190010 | Shirley K. Simmons | Psychologist | 3638 University Ave, Suite #247, Riverside, CA 92501-3331 | 2006-12-15 |
| 1699231498 | Shirley Denise Simmons | Technician | 1526 Shalfont Ln, Garland, TX 75040-4369 | 2019-02-16 |
| Street Address |
1200 J D ANDERSON DR MONONGALIA GENERAL HOSPITAL |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-3494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407840572 | John J Azar | Internal Medicine | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2005-09-06 |
| 1699383158 | Emily Joyce Courtwright | Physician Assistant | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2020-07-21 |
| 1912532466 | Grant Perrine | Registered Nurse | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2020-03-05 |
| 1225669286 | Elizabeth Sippey | Physician Assistant | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2020-01-29 |
| 1427692573 | Christina Maria Maust | Registered Nurse | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-11-01 |
| 1518517903 | Allison Hone | Nurse Practitioner | 1200 J D Anderson Dr, Morgantown, WV 26505 | 2019-09-17 |
| 1356999312 | Avery James Gookin | Internal Medicine | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-09-03 |
| 1851959134 | Rebecca Ruth Cain | Nurse Practitioner | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-06-03 |
| 1629634894 | Jancis Anne Hanna | Registered Nurse | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-05-14 |
| 1285297820 | Emily Ann Hair | Nurse Practitioner | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1013081553 | Christen L Jordan | Physician Assistant | 1 Medical Center Driive, Morgantown, WV 26506 | 2006-11-17 |
| 1134726334 | Anna Elizabeth Warfiled | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-01 |
| 1184146250 | Haley Summerfield | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-07-11 |
| 1619408473 | Zachary Kent Douglas | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-03-23 |
| 1619418340 | Kristopher Smith | Physician Assistant | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2017-03-14 |
| 1306388350 | Lance Bryson | Physician Assistant | 1000 J D Anderson Dr, Suite 401, Morgantown, WV 26505-1241 | 2016-11-08 |
| 1518415843 | Anne Mittal | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2016-09-15 |
| 1003362393 | Hangyu Watson | Physician Assistant | 1 Medical Center Drive, Morgantown, WV 26506-1200 | 2016-08-28 |
| 1881046399 | Michele Vidulich | Physician Assistant | 1 Medical Center Drive, Morgantown, WV 26506 | 2016-07-08 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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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.