MICHAEL DAVID SIMMONS (NPI# 1962557298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962557298 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID SIMMONS |
| Credential | M.D. |
| Practice Address |
1st Medical Group 77 Nealy Avenue Langley Afb VA 23665-2023 |
| Practice Telephone | 7577642109 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
0101221496 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528358355 | Michael Jay Simmons | Physical Therapist | 2740 Nautical Way, Villa Rica, GA 30180-8490 | 2011-04-13 |
| 1760784219 | Michael Anthony Simmons | Registered Nurse | 1414 N Austin Blvd, 3w, Oak Park, IL 60302-1174 | 2010-12-02 |
| 1740591841 | Michael D Simmons | Respiratory Therapist, Registered | 1303 Savannah Dr, Panama City, FL 32405-4858 | 2010-06-24 |
| 1225160989 | Michael Lee Simmons | Dentist | 1485 Main St Ste 102, Saint Helena, CA 94574-1850 | 2007-03-09 |
| 1326109034 | Michael D Simmons | Dentist | 1601 Davie Avenue, Statesville, NC 28677 | 2006-12-13 |
| 1043315864 | Michael R. Simmons | Family Medicine | 1026 N Highway 69, Frontenac, KS 66763-8100 | 2006-09-14 |
| 1801828462 | Michael P Simmons | Chiropractor | 3800 Watt Avenue, Suite 120, Sacramento, CA 95821-2622 | 2006-07-06 |
| 1770571788 | Michael Simmons | Massage Therapist | 19971 Back Nine Dr, Boca Raton, FL 33498-4706 | 2005-10-12 |
| 1225023344 | Michael Grayson Simmons | Urology | 750 Byron Rd, Scottsboro, AL 35769-4051 | 2005-09-14 |
| 1518567387 | Michael Simmons | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-29 |
| Street Address |
1ST MEDICAL GROUP 77 NEALY AVENUE |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386621167 | Wayne Martin Pritt | Family Medicine | 1st Medical Group, 45 Pine Road, Langley Afb, VA 23665-2080 | 2005-12-22 |
| 1265676985 | Eric Richard Mccoy | Military Health Care Provider | 1st Medical Group, 77 Nealy Avenue, Langley Afb, VA 23665-2040 | 2009-04-24 |
| 1740421957 | Rick Lee Campise | Psychologist | 1st Medical Group, 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2009-03-18 |
| 1245424555 | Thelma Diane Thomas | Advanced Practice Midwife | 1st Medical Group, 77 Nealy Avenue, Langley Afb, VA 23665-2023 | 2007-08-29 |
| 1306050430 | Denise Michelle Dunklee | Registered Nurse | 1st Medical Group, 77 Nealy Drive, Langley Afb, VA 23665-3339 | 2007-05-09 |
| 1508089673 | Nancy Jean Petrilak | Optometrist | 1st Medical Group, 77 Nealy Ave, Langley Afb, VA 23665-2023 | 2007-04-10 |
| 1093846362 | Robert Joseph Fischer | Obstetrics & Gynecology | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-03-08 |
| 1649308909 | Joseph J Legan | Orthopaedic Surgery | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-03-01 |
| 1952438178 | Kathleen Ann Cole | Dentist | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-02-27 |
| 1821131863 | Peter Kestutis Budnikas | Dentist | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952925307 | Susan Hanley Tilton | Preventive Medicine | 1855 Stratford Park Pl Apt 413, Reston, VA 20190-3355 | 2020-06-02 |
| 1336605641 | Arnauld T Nicogossian | Preventive Medicine | 9215 Bayard Pl, Fairfax, VA 22032-2103 | 2019-02-12 |
| 1477079754 | Richard Stuart Williams | Preventive Medicine | 81 Flight Line Dr, Fredericksburg, VA 22405-1437 | 2017-08-17 |
| 1861741662 | Leroy Patrick Gross | Preventive Medicine | 2 Eaton St, Suite 908, Hampton, VA 23669-4054 | 2012-09-07 |
| 1275839573 | Russell Barry Rayman | Preventive Medicine | 8710 Linton Lane, Alexandria, VA 22308 | 2011-02-03 |
| 1023336799 | Arne Hasselquist | Preventive Medicine | 100 State Park Dr, Hampton, VA 23664-1965 | 2010-05-05 |
| 1659696078 | Huberto Isaac Ramos | Preventive Medicine | 2136 Hickory Forest Dr, Chesapeake, VA 23322-1758 | 2010-03-29 |
| 1649407222 | Peter F Demitry | Preventive Medicine | 3700 Drake Ln, Haymarket, VA 20169-2477 | 2009-06-22 |
| 1346312501 | Edward H Chin | Preventive Medicine | 25755 Tullow Pl, Chantilly, VA 20152-2572 | 2006-11-14 |
| 1407940729 | William Patrick Butler | Preventive Medicine | 732 Okuma Dr, Chester, VA 23836-5711 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
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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.