MR. PHILLIP RAY SIMMONS (NPI# 1780878363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780878363 |
Entity Type | Individual |
Full Name | MR. PHILLIP RAY SIMMONS |
Practice Address |
902 Milam St Texarkana TX 75501-4735 |
Practice Telephone | 9037935484 |
Mailing Telephone | 9037935484 |
Enumeration Date | 2007-08-28 |
Last Update Date | 2007-08-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386824670 | Phillip Simmons | Counselor | 20490 Harper Ave Ste 113, Harper Woods, MI 48225-1645 | 2007-11-05 |
1619172483 | Phillip D Simmons | Counselor | 704 N Oak Ave, Room 20, Ada, OK 74820-3267 | 2007-06-20 |
Street Address |
902 MILAM ST |
City | TEXARKANA |
State | TX |
Zip Code | 75501-4735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
Find all providers in zip 75501 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407305881 | Oak Dme Supply Company, LLC | Durable Medical Equipment & Medical Supplies | 6500 Summerhill Rd Ste C, Texarkana, TX 75503-1721 | 2016-09-27 |
1477002012 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2904 Arkansas Blvd Ste 116, Texarkana, AR 71854-2536 | 2016-09-23 |
1326419920 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 3504 Richmond Rd, Texarkana, TX 75503-0705 | 2015-10-08 |
1316313307 | Team Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 210 N State Line Ave Ste 201, Texarkana, AR 71854-5917 | 2015-08-13 |
1427452168 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 3302 Summerhill Rd, Texarkana, TX 75503-3905 | 2014-10-09 |
1104167352 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 4613 Parkway Dr, Suite A, Texarkana, AR 71854-1142 | 2013-03-13 |
1124372636 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1901 Richmond Rd, Texarkana, TX 75503-2424 | 2012-11-06 |
1659629152 | Arkansas Cvs Pharmacy L.L.C. | Durable Medical Equipment & Medical Supplies | 3908 N State Line Ave, Texarkana, AR 71854-1935 | 2012-08-15 |
1902191067 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3610 Saint Michael Dr, Texarkana, TX 75503-2341 | 2011-06-16 |
1700025194 | Rece's Services | Durable Medical Equipment & Medical Supplies | 1409 E 29th St, Texarkana, AR 71854-2942 | 2009-02-09 |
Find all providers in TEXARKANA |
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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.