MRS. WENDY W SIMMONS (NPI# 1609800556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609800556 |
Entity Type | Individual |
Full Name | MRS. WENDY W SIMMONS |
Credential | PA |
Practice Address |
1710 S. 17th St. Wilmington NC 28401-6442 |
Practice Telephone | 9107621182 |
Practice Fax Number | 9103321111 |
Mailing Telephone | 9107621182 |
Mailing Fax Number | 9103321111 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2009-12-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
101041 | NC | Allopathic & Osteopathic Physicians |
N | 363A00000X | Physician Assistant | MS0295635 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | NC LICENSE | 101041 | 01 |
NC | DEA NUMBER | MS0295635 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578096186 | Wendy Simmons | Public Health or Welfare | 9120 Hannahs Crossing Dr, Gainesville, GA 30506-3945 | 2017-04-10 |
1255670543 | Wendy Ann Simmons | Massage Therapist | 422a Kalama St, Kailua, HI 96734-2070 | 2013-02-06 |
1922291368 | Wendy Elese Waithe Simmons | Psychologist | 441 Orange St, New Haven, CT 06511-6217 | 2007-08-20 |
1972546257 | Wendy M Simmons | Counselor | 5175 Cold Spring Creamery Rd, Doylestown, PA 18901 | 2006-06-14 |
Street Address |
1710 S. 17TH ST. |
City | WILMINGTON |
State | NC |
Zip Code | 28401-6442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174520449 | John L. Harshbarger | Internal Medicine | 1710 S. 17th St., Wilmington, NC 28401-6442 | 2005-07-01 |
1821096264 | David W Puett | Internal Medicine | 1710 S. 17th St., Wilmington, NC 28401-6442 | 2005-07-11 |
1811995251 | Gregory F Schimizzi | Internal Medicine | 1710 S. 17th St., Wilmington, NC 28401-6442 | 2005-07-11 |
1437157872 | Mark D Harris | Internal Medicine | 1710 S. 17th St., Wilmington, NC 28401-6442 | 2005-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
Find all providers in zip 28401 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235473166 | Flexacare Medical PC | Internal Medicine | 5223 W Woodmill Dr, Suite 41, Wilmington, DE 19808-4068 | 2012-11-15 |
1659684777 | Maryah Mansoor | Internal Medicine | 501 West 14th Street, 5th Floor, S, Wilmington, DE 19801-1013 | 2010-07-18 |
1427010081 | Carolina Arthritis Associates, P.a. | Internal Medicine | 1710 S 17th St, Wilmington, NC 28401-6442 | 2006-04-06 |
1144291212 | Philip Schwartz | Internal Medicine | 1902 N Scott St, Rheumatology Consultants, Wilmington, DE 19806-2358 | 2006-01-27 |
1174520449 | John L. Harshbarger | Internal Medicine | 1710 S. 17th St., Wilmington, NC 28401-6442 | 2005-07-01 |
1700881695 | Guy Fiocco | Internal Medicine | 1509 Doctors Cir, Building C, Wilmington, NC 28401-7403 | 2005-06-16 |
1174177141 | Rheumatology and Internal Medicine Associates II PC | Internal Medicine | 64c Concord St, Wilmington, MA 01887-2179 | 2019-07-29 |
1417334145 | Carolina Healthcare Associates Inc | Internal Medicine | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2015-05-01 |
1306199674 | Heather B Favorito | Internal Medicine | 2421 Silver Stream Ln, Wilmington, NC 28401-7684 | 2012-10-23 |
1114128618 | Daniel Lee Delo | Internal Medicine | 1710 S 17th St, Wilmington, NC 28401-6442 | 2007-05-30 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28401 |
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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.