RANDON CALVIN SIMMONS (NPI# 1932134954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932134954 |
| Entity Type | Individual |
| Full Name | RANDON CALVIN SIMMONS |
| Credential | MD |
| Practice Address |
112 Hillvue Drive Butler PA 16001-3498 |
| Mailing Address |
170 Winters Road Butler PA 16002 |
| Practice Telephone | 7242870791 |
| Practice Fax Number | 7242872730 |
| Mailing Telephone | 7242855473 |
| Mailing Fax Number | 7242342234 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD017420E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 054852 | 01 |
| Street Address |
112 HILLVUE DRIVE |
| City | BUTLER |
| State | PA |
| Zip Code | 16001-3498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447280243 | Jopindar Pal Harika | Psychiatry & Neurology | 112 Hillvue Drive, Butler, PA 16001-3498 | 2006-07-04 |
| 1699950410 | Irene Stacy Cmhc | Community/Behavioral Health | 112 Hillvue Drive, Butler, PA 16001-3498 | 2007-12-31 |
| 1518142249 | Irene Stacy Cmhc | Community/Behavioral Health | 112 Hillvue Drive, Butler, PR 16001-3498 | 2007-12-31 |
| 1144405960 | Irene Stacy Cmhc | Community/Behavioral Health | 112 Hillvue Drive, Butler, PA 16001-3498 | 2007-12-31 |
| 1740465475 | Irene Stacy Cmhc | Community/Behavioral Health | 112 Hillvue Drive, Butler, PA 16001-3498 | 2007-12-31 |
| 1255516985 | Irene Stacy Cmhc | Community/Behavioral Health | 112 Hillvue Drive, Butler, PA 16001-3498 | 2007-12-31 |
| 1063697795 | Irene Stacy Cmhc | Community/Behavioral Health | 112 Hillvue Drive, Butler, PA 16001-3498 | 2007-12-31 |
| 1417131202 | Irene Stacy Cmhc | Community/Behavioral Health | 112 Hillvue Drive, Butler, PA 16001-3498 | 2007-12-28 |
| 1770767568 | Irene Stacy Cmhc | Community/Behavioral Health | 112 Hillvue Drive, Butler, PA 16001-3498 | 2007-12-28 |
| 1588848378 | Irene Stacy Cmhc | Community/Behavioral Health | 112 Hillvue Drive, Butler, PA 16001-3498 | 2007-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347842 | Sara Rae Saeler | Speech-Language Pathologist | Lifesteps Early Education Center, 383 New Castle Road, Butler, PA 16001 | 2018-05-22 |
| 1265937601 | Sang Chul Lee | Dentist | 222 W Cunningham St Ste 106, Butler, PA 16001 | 2018-03-27 |
| 1255850251 | Kristin Michelle Mohler | Nurse Practitioner | 353 N. Duffy Rd, Butler, PA 16001 | 2017-09-12 |
| 1164977096 | Jessica Rossman | Optometrist | 120 Hollywood Dr Ste 102, Butler, PA 16001 | 2016-08-21 |
| 1801244355 | The Care Center | Case Management | 115-121 East North Street, Butler, PA 16001 | 2016-05-25 |
| 1912385287 | Jennifer Marie Nelson | Registered Nurse | 121 Sawmill Ln, Butler, PA 16001 | 2015-05-07 |
| 1659799427 | Kelli M. Ruby | Psychiatry & Neurology | 901 E Brady St Ste 103, Butler, PA 16001 | 2014-03-31 |
| 1942627815 | Good Choices Counseling, LLC | Social Worker | 1022a North Main Street Extension, Butler, PA 16001 | 2014-03-27 |
| 1821415068 | Jill Charlene Ferguson | Counselor | 200 Renaissance Drive, Suite 301, Butler, PA 16001 | 2014-03-26 |
| 1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
| Find all providers in zip 16001 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
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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.