QUANIKA SHUNTAAYE SIMPSON-JACKSON


Address: 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677
Phone: 6026988261

QUANIKA SHUNTAAYE SIMPSON-JACKSON (NPI# 1114400637) 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) 1114400637
Entity Type Individual
Full Name QUANIKA SHUNTAAYE SIMPSON-JACKSON
Credential MD
Practice Address 202 E Earll Dr Ste 360
Phoenix
AZ 85012-2677
Mailing Address 5060 N 19th Ave Ste 300-28
Phoenix
AZ 85015-3210
Practice Telephone 6026988261
Mailing Telephone 6026988261
Enumeration Date 2018-09-11
Last Update Date 2020-07-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
51627-AO-0 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 8389PCS0 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2020 Pinto Ln, Las Vegas, NV 891064019 7024174702
5060 N 19th Ave Ste 300-28, Phoenix, AZ 850153210 6026988261

Office Location

Street Address 202 E EARLL DR STE 360
City PHOENIX
State AZ
Zip Code 85012-2677

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215285051 Laura Elizabeth Fox Physician Assistant 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677 2012-08-28
1346840055 Megan Marie Youngstead Nurse Practitioner 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677 2020-10-30
1134680820 Reflection Health Services L.L.C. Psychiatric Residential Treatment Facility 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677 2019-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881205417 Diligence Physical Therapy and Wellness, Pllc Physical Therapist 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 2020-08-17
1962023135 Kelee Jade Forst Student in an Organized Health Care Education/Training Program 4001 N Third Street, Suite 290, Phoenix, AZ 85012 2020-04-29
1659911428 Thomas James Blake Social Worker Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 2020-01-09
1598259467 Luis F Fong Registered Nurse 3620 N. 3rd Street, Phoenix, AZ 85012 2018-06-14
1881196335 Phoenix Surgical Solutions Pllc Surgery 6120 W Bell Rd Suite 130, Glendale, AZ 85012 2018-03-01
1679082523 Christopher Ferguson Physician Assistant 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 2017-09-22
1861911323 Viet Quoc Truong Physician Assistant 650 E Indian School Rd # 1, Phoenix, AZ 85012 2017-09-15
1720506389 Erin Lynne Cody Nurse Practitioner 3003 N. 3rd St, Phoenix, AZ 85012 2017-09-05
1346694627 Sharareh Najafi Psychologist 3450 N. 3rd Street, Phoenix, AZ 85012 2016-04-22
1548635824 Rebekah June Daroff Specialist/Technologist 352 N Camelback Rd, Phoenix, AZ 85012 2015-12-11
Find all providers in zip 85012

Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528679354 Arizona Hospitalists, Pllc Emergency Medicine 10255 N 43rd St, Phoenix, AZ 85028-4108 2020-08-14
1477641991 Lincoln Physician Billing, LLC Emergency Medicine 2500 W Utopia Rd Ste 100, Phoenix, AZ 85027-4172 2006-10-10
1255845517 Kristina Yvonne Keilson Emergency Medicine 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2017-11-24
1932466331 Mark R Engelman Emergency Medicine 4400 N 32nd St, Ste #150, Phoenix, AZ 85018-3953 2012-04-23
1225311871 Acute Care Surgical Specialists, LLC Emergency Medicine 9250 N 3rd St, Suite 3015, Phoenix, AZ 85020-2437 2011-09-20
1386935013 Bryan Heidrich Emergency Medicine 2601 E Roosevelt St, Department of Emergency Medicine, Phoenix, AZ 85008-4973 2011-04-28
1073847695 Christopher Quinn May Emergency Medicine 2601 E Roosevelt St, Department of Emergency Medicine, Phoenix, AZ 85008-4973 2009-09-29
1003065004 Joel Philip Betz Emergency Medicine 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2008-09-15
1982863429 Ian James Thomas Emergency Medicine 9250 N 3rd St, Suite 3015, Phoenix, AZ 85020-2437 2008-06-09
1114120896 Kevin R Johnson Emergency Medicine 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 2007-06-08
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85012

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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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