MR. CECIL SIMMONS (NPI# 1437589322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437589322 |
| Entity Type | Individual |
| Full Name | MR. CECIL SIMMONS |
| Practice Address |
9040a Jackson Ave Joint Base Lewis Mcchord WA 98431-5641 |
| Mailing Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Practice Telephone | 2539681110 |
| Mailing Telephone | 9124356965 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053318410 | Cecil R Simmons | Family Medicine | 351 N Sam Houston Blvd, San Benito, TX 78586-4656 | 2005-06-30 |
| Street Address |
9040A JACKSON AVE |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98431-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747716 | Melissa Stahl | Occupational Therapist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2020-10-16 |
| 1043832090 | Ryan Michael Brock | Pharmacist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2020-05-13 |
| 1205457900 | Yang Qu | Physician Assistant | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2020-05-04 |
| 1275195877 | Michael C Saenz | Licensed Practical Nurse | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2019-07-03 |
| 1154892792 | Nicholas James Wankum | Physical Therapist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-12-07 |
| 1942775184 | Rachel Nell Dyal | Nutritionist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-10-03 |
| 1861998346 | Isaac Ingersoll | General Practice | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-04-03 |
| 1184124687 | Ketan Mehta | General Practice | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-02-20 |
| 1073965851 | Katy L Modlin | Dermatology | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-5638 | 2016-07-06 |
| 1104286582 | Andrew Zilka | Physician Assistant | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2016-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811223423 | Ryan W Webb | Physician Assistant | 9040 Jackson Ave Mchf-clq-c, Joint Base Lewis Mcchord, WA 98431-4602 | 2009-11-02 |
| 1114253887 | Kimberly Dang | Physician Assistant | C Co., 2d Bsb, 2-2 Sbct, Box 339550, Joint Base Lewis Mcchord, WA 98433-9998 | 2009-10-30 |
| 1205457900 | Yang Qu | Physician Assistant | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2020-05-04 |
| 1326594680 | Mitchell T Marks | Physician Assistant | 9119 Mil Park Ave, Joint Base Lewis Mcchord, WA 98433 | 2016-08-28 |
| 1104286582 | Andrew Zilka | Physician Assistant | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2016-02-29 |
| 1134555980 | Sarah K Soja | Physician Assistant | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1100 | 2013-09-24 |
| 1457604621 | Garrett S Latham | Physician Assistant | 9040 Reid St, Attn: Mchj-clq-c, Joint Base Lewis Mcchord, WA 98431-1100 | 2012-10-24 |
| 1245505858 | Andrew Warren Nielsen | Physician Assistant | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2012-03-14 |
| 1972807063 | Rachel Lynne Sammis-falk | Physician Assistant | 9040 Fitzsimmons Dr, Madigan Army Medical Center, Joint Base Lewis Mcchord, WA 98431-1000 | 2011-01-04 |
| 1629378641 | Robin L Vargo | Physician Assistant | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2010-10-25 |
| Find all providers in JOINT BASE LEWIS MCCHORD | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98431 |
Please comment or provide details below to improve the information on MR. CECIL SIMMONS.
| 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.