Shannon Simmons (NPI# 1619210630, PAC ID# 3678705738) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1619210630 |
| PAC ID by PECOS | 3678705738 |
| Professional Enrollment ID | I20190823001293 |
| Full Name | Shannon Simmons |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
950 Warren Ave Suite 302 East Providence RI 02914-1432 |
| Phone Number | 4014446551 |
| Gender | F |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410007 | RHODE ISLAND HOSPITAL |
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486 | 4019444300 | LIFESPAN PHYSICIAN GROUP INC |
| 950 Warren Ave, Suite 302, East Providence, RI 02914-1432 | 4014446551 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy Souaid | Internal Medicine | Lifespan Physician Group Inc | 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486 |
| Amritpal Singh Jawanda | Family Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Alisha Lakhani | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Leah R Battista | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Caroline Sizer | Physical Medicine and Rehabilitation | Lifespan Physician Group Inc | 765 Allens Ave, Suite 110, Providence, RI 02905-5443 |
| Christine Michele Leddy | Psychiatry | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Dana Siperstein | Psychiatry | Lifespan Physician Group Inc | 167 Point St, Providence, RI 02903-4771 |
| Brady Geronimo Case | Psychiatry | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Maurice Francis Joyce Iii | Anesthesiology | Lifespan Physician Group Inc | 55 Lambert Lind Hwy, Warwick, RI 02886-1074 |
| Street Address |
950 WARREN AVE SUITE 302 |
| City | EAST PROVIDENCE |
| State | RI |
| Zip | 02914-1432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Bonin | Nurse Practitioner | The Miriam Hospital | 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 |
| Kalina M Brabeck | Psychologist, Clinical | Lifespan Physician Group Inc | 950 Warren Ave, Suite 104, East Providence, RI 02914-1432 |
| Steven Lampert | Cardiovascular Disease (cardiology) | The Miriam Hospital | 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 |
| Sherrye L Durante | Nurse Practitioner | The Miriam Hospital | 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 |
| Eunice H Wharton | Clinical Social Worker | Lifespan Physician Group Inc | 950 Warren Ave, Suite 104, East Providence, RI 02914-1432 |
| Kachiu C Lee | Dermatology | Lifespan Physician Group, Inc. | 950 Warren Ave, Suite 302, East Providence, RI 02914-1432 |
| Aaron M Drucker | Dermatology | Lifespan Physician Group, Inc. | 950 Warren Ave, East Providence, RI 02914-1432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Geist | Diagnostic Radiology | Rhode Island Medical Imaging | 20 Catamore Blvd, E Providence, RI 02914-1204 |
| Miranda R Wing | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Elisabeth M Butler | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Donna Zaken | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Judith S Bessoff | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Marta E Rosol | Clinical Social Worker | 1018 Waterman Ave, East Providence, RI 02914-1318 | |
| Constantine Vafidis | Family Medicine | Primary Medical Center and Walk-in LLC | 684 Warren Ave, East Providence, RI 02914-1405 |
| Martha Ragsdale | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Sterling Saint | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Jacqueline Finn | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Find all physicians in zip 02914 | |||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | EAST PROVIDENCE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Shannon Simmons.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.