SAMUEL JOSEPH SIMMONS III, INC. (NPI# 1790951796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790951796 |
| Entity Type | Organization |
| Organization Name | SAMUEL JOSEPH SIMMONS III, INC. |
| Practice Address |
3601 Beach Blvd #3 Pascagoula MS 39567-7595 |
| Practice Telephone | 2282176989 |
| Mailing Telephone | 2282176989 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2010-03-16 |
| Authorized Official Name | DR. SAMUEL J. SIMMONS III (CEO) |
| Authorized Official Telephone | 2282176989 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 04941 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
3601 BEACH BLVD #3 |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39567-7595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1477948107 | Market Place Pharmacy, LLC | Pharmacy | 1965 Market Street, Pascagoula, MS 39567 | 2015-03-31 |
| 1518382266 | Randy S Kirksey | Social Worker | 1017 Farnworth Ave, Pascagoula, MS 39567 | 2014-03-04 |
| 1063710747 | Hinman Chiropractic Care, Pa | Chiropractor | 3215 Market Street, Pascagoula, MS 39567 | 2011-03-04 |
| 1215232830 | Jessica E Shores | Military Health Care Provider | 1000 Access Rd Bldg 2026, Pascagoula, MS 39567 | 2011-01-12 |
| 1912214438 | Walker Chiropractic Center, Pllc | Chiropractor | 1408 Ingalls Ave, Pascagoula, MS 39567 | 2010-09-03 |
| 1386979961 | South Mississippi Ear, Nose and Throat | Otolaryngology | 2525 Telephone Road, Pascagoula, MS 39567 | 2009-10-15 |
| 1720299415 | James H Halbrook | Dentist | 2202 Old Mobile Hwy, Pascagoula, MS 39567 | 2007-05-24 |
| 1871624627 | Thayne Christopher Griener | Otolaryngology | 2812 Andrews Avenue, Pascagoula, MS 39567 | 2007-03-07 |
| 1447318159 | Ada Ruth Bosarge | Physical Therapist | 2838 Andrew St, Pascagoula, MS 39567 | 2006-12-05 |
| Find all providers in zip 39567 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1710499744 | Robert B. Burns, Md | Internal Medicine | 4211 Hospital St Ste 206, Pascagoula, MS 39581-5311 | 2017-10-31 |
| 1720179401 | Robert Benjamin Burns | Internal Medicine | 4603 Hospital St, Ste A, Pascagoula, MS 39581-5337 | 2006-09-27 |
| 1811425945 | Christina Marie Daniel | Internal Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2017-06-02 |
| 1598299786 | Chelsey Lynn Hill | Internal Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2017-04-14 |
| 1760914246 | Caleb Andrew Peyton | Internal Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2017-04-03 |
| 1457795684 | Joshua Coker | Internal Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2013-04-18 |
| 1053670166 | Ediz Tasan | Internal Medicine | 4300 Hospital St Ste 102, Pascagoula, MS 39581 | 2012-05-09 |
| 1598077059 | Gregory Ryan Culpepper | Internal Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2010-07-12 |
| 1548586399 | Renee Shiao | Internal Medicine | 4511 Hospital St, Pascagoula, MS 39581-5336 | 2010-04-19 |
| 1275763823 | Stuart L Phillips Jr. | Internal Medicine | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2009-07-16 |
| Find all providers in PASCAGOULA | ||||
| City | PASCAGOULA |
| Zip Code | 39567 |
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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.