DR. KEVIN STEWART SIMMONS (NPI# 1639180433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639180433 |
| Entity Type | Individual |
| Full Name | DR. KEVIN STEWART SIMMONS |
| Credential | M.D. |
| Practice Address |
1304 Oak St Melbourne FL 32901-3111 |
| Practice Telephone | 3217234723 |
| Practice Fax Number | 3217271448 |
| Mailing Telephone | 3217234723 |
| Mailing Fax Number | 3217271448 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | ME43526 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBSFL | 05505 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703596 | Kevin Lee Simmons | Peer Specialist | 10700 S Choctaw Rd, Newalla, OK 74857-7962 | 2020-06-07 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1255479887 | Kevin James Simmons | Psychiatry & Neurology | 3777 Sienna Pkwy, Missouri City, TX 77459-6015 | 2007-02-03 |
| 1407101892 | Kevin Michael Simmons | Optometrist | 14645 Bel Red Rd, Building E, Ste 102, Bellevue, WA 98007-3929 | 2012-07-20 |
| 1497068035 | Kevin Simmons | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2010-07-26 |
| 1144433749 | Kevin Robert Simmons | Pharmacist | 752 Route 202, Rindge, NH 03461 | 2007-05-08 |
| Street Address |
1304 OAK ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962419820 | Daniel Mcdonough | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2006-08-02 |
| 1548629108 | The Stingl Family Foundation, Inc | Clinic/Center | 1304 Oak St, Melbourne, FL 32901-3111 | 2016-02-11 |
| 1902243504 | Amanda Nicole Hughes | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2013-05-23 |
| 1083967806 | Jolene Keiko Goranovic | Anesthesiologist Assistant | 1304 Oak St, Melbourne, FL 32901-3111 | 2012-10-17 |
| 1225383318 | Tiffany Anne Vaughn | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2012-07-16 |
| 1104181742 | Trisha Jones | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2012-07-10 |
| 1538422688 | Melba Dolores Lopez De Victoria | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32904-3111 | 2012-06-22 |
| 1619250404 | James Dieckman | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2011-09-28 |
| 1649568858 | Jenifer Lee James | Nurse Anesthetist, Certified Registered | 1304 Oak St, Brevard Anesthesia Servcies, Melbourne, FL 32901-3111 | 2011-07-21 |
| 1477782282 | Robert Frank Novo | Anesthesiology | 1304 Oak St, Melbourne, FL 32901-3111 | 2009-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194198093 | Roscoe Rossi | Anesthesiology | 1211 E New Haven Ave, #804, Melbourne, FL 32901-7390 | 2015-11-02 |
| 1427474188 | Sajith Panduke Abeyawickrama | Anesthesiology | 7955 Spyglass Hill Rd, Melbourne, FL 32940-8249 | 2014-03-05 |
| 1114210739 | William E Duvall | Anesthesiology | 3489 Fender Rd, Melbourne, KY 41059-9455 | 2011-05-17 |
| 1457434763 | Anesthesia & Pain Pa | Anesthesiology | 2222 S Harbor City Blvd Ste 520, Melbourne, FL 32901-5591 | 2006-10-23 |
| 1720191786 | Ronald J. Stern | Anesthesiology | 1696-b West Hibiscus Boulevard, Melbourne, FL 32901-2638 | 2006-08-16 |
| 1558351692 | Alberto M Cabantog | Anesthesiology | 308 S Harbor City Blvd, Suite A, Melbourne, FL 32901-1500 | 2005-10-27 |
| 1275521957 | Juan Eugenio Santiago | Anesthesiology | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2005-10-07 |
| 1912510124 | Shannia Fullerton | Anesthesiology | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2020-08-26 |
| 1164939971 | Beachside Anesthesia Inc | Anesthesiology | 95 Bulldog Blvd, Melbourne, FL 32901-3332 | 2018-01-02 |
| 1164897575 | Anesthesiology Consultants of Melbourne, Pa | Anesthesiology | 2222 S Harbor City Blvd, #610, Melbourne, FL 32901-5594 | 2015-12-10 |
| Find all providers in MELBOURNE | ||||
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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.