MARY SIMMONS (NPI# 1457373946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457373946 |
| Entity Type | Individual |
| Full Name | MARY SIMMONS |
| Other Name | MARY MATHEW |
| Credential | MD |
| Practice Address |
1700 Henry Luckow Ln Belvidere IL 61008 |
| Mailing Address |
Po Box 78866 Milwaukee WI 53278-8866 |
| Practice Telephone | 7796968650 |
| Mailing Telephone | 7796967150 |
| Mailing Fax Number | 7796967342 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036105006 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036105006 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386040905 | Mary L Simmons | Nurse Practitioner | 29 Richmond Ave, Ridgewood, NJ 07450-4224 | 2014-11-10 |
| 1346544343 | Mary Y Simmons | Licensed Practical Nurse | 68 Goldfinch Dr, W Henrietta, NY 14586-9329 | 2011-01-05 |
| 1164644282 | Mary Elaine Simmons | Registered Nurse | 6101 Autumn Springs Dr, Arlington, TX 76001-5004 | 2007-05-02 |
| 1124174156 | Mary Simmons | Technician | 316 205th Rd, Leona, KS 66532-9538 | 2007-01-25 |
| 1366420762 | Mary Anne Simmons | Dentist | 245 S Ridge St, Port Sanilac, MI 48469-9704 | 2006-01-05 |
| 1710511886 | Mary Elizabeth Simmons | Counselor | 200 Springtree Dr Ste 200, Columbia, SC 29223-8614 | 2020-02-27 |
| 1316314982 | Mary Mcguire Gray Simmons | Pharmacist | 105 W Highway 30, Gonzales, LA 70737-4802 | 2015-08-30 |
| 1578945895 | Mary Simmons | Occupational Therapist | 815 Freeport Rd, Pittsburgh, PA 15215-3301 | 2015-06-23 |
| 1588821193 | Mary D Simmons | Family Medicine | 5855 Bremo Rd, Suite 303, Richmond, VA 23226 | 2008-05-21 |
| 1316145691 | Mary Kristin Simmons | Occupational Therapist | 12332 Garden Grove Blvd, Garden Grove, CA 92843-1804 | 2007-07-06 |
| Street Address |
1700 HENRY LUCKOW LN |
| City | BELVIDERE |
| State | IL |
| Zip Code | 61008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578129987 | Tracy A Palmer | Registered Nurse | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 | 2019-05-13 |
| 1184151177 | Anne T Cunningham | Registered Nurse | 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 | 2017-05-22 |
| 1184079451 | Amanda L Ritter | Nurse Practitioner | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2016-04-25 |
| 1104259894 | Erica J Hoyer | Registered Nurse | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2013-08-16 |
| 1043554918 | Diana E Schultz | Nurse Practitioner | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2012-11-16 |
| 1528374196 | Michael David Corcoran | Podiatrist | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2010-08-20 |
| 1104146539 | Andrea Nicole Giamalva | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2010-06-08 |
| 1093950941 | Amanda Jo Bush | Obstetrics & Gynecology | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2008-12-06 |
| 1619125317 | Cassandra Lopez | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2008-09-05 |
| 1427210319 | Neal Kellenberger | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2008-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902322944 | Lynsie Merry | Speech-Language Pathologist | 919 E. Sixth St., Belvidere, IL 61008 | 2017-08-22 |
| 1023379773 | Dylen Adair Larsen | Technician/Technologist | 521 South Street, Suite 1, Belvidere, IL 61008 | 2012-05-30 |
| 1376665224 | Ultrasound of Belvidere LLC | Radiologic Technologist | 1006 Logan Avenue, Belvidere, IL 61008 | 2007-04-04 |
| 1992845093 | Vicki Marie Harrison | Chiropractor | 301 North State Street, Belvidere, IL 61008 | 2007-02-07 |
| 1316007859 | Drs Drake Ltd | Dentist | 515 Pearl Street, Belvidere, IL 61008 | 2006-12-12 |
| 1194898015 | Family Optical Centre Inc | Optometrist | 304 No State St, Belvidere, IL 61008 | 2006-11-16 |
| 1134172166 | Gabriel John Javurek | Chiropractor | 1800 Logan Ave, Belvidere, IL 61008 | 2006-05-19 |
| 1437642535 | Bailey A Bolwerk | Physical Therapist | 1731 Henry Luckow Ln, Belvidere, IL 61008 | 2018-06-13 |
| 1447480033 | Swedishamerican Hospital | Internal Medicine | 1625 S State St, Belvidere, IL 61008 | 2009-07-17 |
| 1225200579 | Elaine Carlson Drake | Dentist | 515 Pearl Street, Belvidere, IL 61008 | 2008-03-27 |
| Find all providers in zip 61008 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033380514 | Preston Scott Medical Group | Family Medicine | 1906 Pierce Ct, Belvidere, IL 61008-1742 | 2008-03-12 |
| 1144424847 | L Robert Warren Md LLC | Family Medicine | 205 Cadillac Ct Ste 6, Belvidere, IL 61008-1733 | 2007-06-14 |
| 1912080912 | William Sandoval | Family Medicine | 1747 Henry Luckow Ln, Belvidere, IL 61008-1702 | 2006-10-23 |
| 1083700868 | John Patrick Fritz | Family Medicine | 500 Greenwich St, Belvidere, NJ 07823-1409 | 2006-10-05 |
| 1003820465 | John V Bernard | Family Medicine | 526 Water Street, Belvidere, NJ 07823 | 2006-07-28 |
| 1699708636 | Therese Marie Lucietto-sieradzki | Family Medicine | 205 Cadillac Ct Ste 7, Belvidere, IL 61008-1733 | 2006-07-09 |
| 1235182288 | Saint Anthony Medical Center | Family Medicine | 143 Kishwaukee St, Belvidere, IL 61008-3507 | 2006-05-19 |
| 1437139896 | Shin Chen | Family Medicine | 1003 Logan Ave, Belvidere, IL 61008-3955 | 2006-01-20 |
| 1558341933 | L Robert Warren | Family Medicine | 205 Cadillac Ct, Belvidere, IL 61008-1733 | 2006-01-20 |
| 1982694980 | Atisak Sapying | Family Medicine | 2170 Pearl St, Belvidere, IL 61008-6020 | 2005-10-21 |
| Find all providers in BELVIDERE | ||||
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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.