RYAN FRED SIMONS


Address: 3061 S Maryland Pkwy, Suite 200, Las Vegas, NV 89109-2298
Phone: 7027371948

RYAN FRED SIMONS (NPI# 1902111792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902111792
Entity Type Individual
Full Name RYAN FRED SIMONS
Credential PA-C
Practice Address 3061 S Maryland Pkwy
Suite 200
Las Vegas
NV 89109-2298
Mailing Address 2471 Professional Ct
Suite 200
Las Vegas
NV 89128-0825
Practice Telephone 7027371948
Practice Fax Number 7027377195
Mailing Telephone 7028350088
Mailing Fax Number 7028263162
Enumeration Date 2010-08-17
Last Update Date 2016-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA1272 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 1902111792 05
NV MEDICARE PTAN FF014Z 01

Office Location

Street Address 3061 S MARYLAND PKWY
SUITE 200
City LAS VEGAS
State NV
Zip Code 89109-2298

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053394148 Larry F Cohler Thoracic Surgery (Cardiothoracic Vascular Surgery) 3061 S Maryland Pkwy, Suite 202, Las Vegas, NV 89109-2298 2005-11-22
1396365193 Jill Vanlandghen Chiropractor 3061 S Maryland Pkwy, Las Vegas, NV 89109-2298 2020-04-21
1356731640 Christina Paige Steiner Respiratory Therapist, Registered 3061 S Maryland Pkwy, Las Vegas, NV 89109-2298 2015-01-26
1700292513 William Smith, LLC Neurological Surgery 3061 S Maryland Pkwy, Suite 200, Las Vegas, NV 89109-2298 2014-07-01
1053670190 Veronica Marie Ibarra Nurse Practitioner 3061 S Maryland Pkwy, #101, Las Vegas, NV 89109-2298 2012-05-10
1013292481 Dustin D Van Orman Physician Assistant 3061 S Maryland Pkwy, Suite 200, Las Vegas, NV 89109-2298 2011-10-18
1295023885 Dianne Joyce Capili Yusi Pediatrics 3061 S Maryland Pkwy, Suite 101, Las Vegas, NV 89109-2298 2011-07-15
1568609881 The Medical Clinic, Pa Specialist 3061 S Maryland Pkwy, Suite 202, Las Vegas, NV 89109-2298 2009-01-08
1336396258 Kristin M Hamilton Physician Assistant 3061 S Maryland Pkwy, Suite 200, Las Vegas, NV 89109-6227 2008-08-21
1245498203 Kathleen Mary Reardon Nurse Practitioner 3061 S Maryland Pkwy, #101, Las Vegas, NV 89109-2298 2008-05-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942820816 Vivian Latoza Villasfer Technician 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 2020-04-21
1235758236 Happy Life Home Health Services Inc Chore Provider 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 2020-04-10
1346890662 Jaylin Armour Technician 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 2019-09-18
1104475003 Jasmine Thomas Technician 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 2019-09-04
1982258331 Melanee Gregory Technician 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 2019-07-24
1851877583 Eric Darnell Thompson Jr. Community/Behavioral Health 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 2018-07-16
1144717117 Emerging Vision Inc Technician/Technologist Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 2018-04-16
1013404110 Emerging Vision Inc Technician/Technologist Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 2018-04-16
1750881736 Amirelys Hernandez Diaz Technician 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 2018-02-16
1972036663 Ashley Murray Registered Nurse 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 2017-04-10
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407453186 High Cotton LLC Physician Assistant 7995 Blue Diamond Rd Ste 102-356, Las Vegas, NV 89178-9301 2020-10-06
1427591759 Eduardo Delatorre Physician Assistant 7978 Coronado Coast St, Las Vegas, NV 89139-6192 2016-11-17
1992130181 Jason Michael Hall Physician Assistant 7385 S Pecos Rd Ste 101, Las Vegas, NV 89120-3768 2013-09-06
1790024164 Rachelle L Kidd Physician Assistant 9162 Ballineen Ct, Las Vegas, NV 89148-4946 2013-02-05
1104162643 David J Barth P.C. Physician Assistant 5455 S Fort Apache Rd Ste 108-9, Las Vegas, NV 89148-6408 2013-01-02
1184977555 Luke V. Desjarlais, Pllc Physician Assistant 9035 Westchester Hill Ave, Las Vegas, NV 89148-4926 2012-10-22
1598023954 Ronald Lavor Moon Physician Assistant 9806 Red Deer St, Las Vegas, NV 89143 2012-04-23
1720319890 Tiffany Ann Teepen Physician Assistant 8420 W Warm Springs Rd # 100, Las Vegas, NV 89113-3624 2010-01-28
1093046963 Physician Assistant Surgical Specialists Physician Assistant 8979 Haviland Rd, Las Vegas, NV 89123-0617 2010-01-16
1578745667 Jonna Erin Dewaal Physician Assistant 3308 Crystal Tower St, Las Vegas, NV 89129-8141 2007-11-29
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Competitor

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City LAS VEGAS
Zip Code 89109

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Dataset Information

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.

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