SANDRA SIMMONS


Address: 2835 Fort Missoula Rd, Missoula Valley Pediatrics Ste 205, Missoula, MT 59804
Phone: 4065420391

SANDRA SIMMONS (NPI# 1184634305) 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) 1184634305
Entity Type Individual
Full Name SANDRA SIMMONS
Credential MD
Practice Address 2835 Fort Missoula Rd
Missoula Valley Pediatrics Ste 205
Missoula
MT 59804
Mailing Address Po Box 16900
Missoula
MT 59808
Practice Telephone 4065420391
Mailing Telephone 4063274620
Mailing Fax Number 4065495928
Enumeration Date 2006-08-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 208000000X Pediatrics MT10051 MT Allopathic & Osteopathic Physicians
X 2080A0000X Pediatrics
Specialization: Adolescent Medicine
MT10051 MT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MT 0047668 05

Other Providers SANDRA SIMMONS

NPI Name Taxonomy Address Enumeration
1609420876 Sandra Pittman Simmons Nurse Practitioner 5665 Barber Cir, Hahira, GA 31632-2498 2019-07-26
1891124749 Sandra Denise Simmons Counselor 5577 Whittaker Rd, Ypsilanti, MI 48197-9752 2013-11-01
1164053930 Sandra Simmons Pharmacist 37340 Five Mile Rd, Livonia, MI 48154-1800 2020-01-30
1285899906 Sandra June Simmons Social Worker 4402 Vance Jackson Rd Ste 112, San Antonio, TX 78230-5333 2008-07-22
1174729339 Sandra Kay Simmons Speech-Language Pathologist 485 S Friendship Dr, Nashville, IL 62263-1363 2007-06-25
1265565899 Sandra Gail Simmons Social Worker 545 Estudillo Ave, San Leandro, CA 94577-4611 2007-03-13
1265597660 Sandra Diana Simmons I Counselor 25 Staniford St, Boston, MA 02114-2503 2006-12-26
1235213919 Sandra Jean Simmons Psychiatry & Neurology 567 E Hargett St, Raleigh, NC 27601-1517 2006-10-25
1851363469 Sandra K Simmons Nurse Practitioner 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 2006-02-07

Office Location

Street Address 2835 FORT MISSOULA RD
MISSOULA VALLEY PEDIATRICS STE 205
City MISSOULA
State MT
Zip Code 59804

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053304378 Troy Dennis Warling Nurse Practitioner 2835 Fort Missoula Rd, Physician Center 3, Suite 204, Missoula, MT 59804-7423 2005-08-23
1255852232 Montana Women's Healthcare, LLC Obstetrics & Gynecology 2835 Fort Missoula Rd, Suite 202, Missoula, MT 59804-7423 2017-06-29
1881050466 Polly Becker Social Worker 2835 Fort Missoula Rd, Pediatric Specialty Clinic, Missoula, MT 59804-7423 2016-01-12
1366824930 Scott C Wyman Md PC Obstetrics & Gynecology 2835 Fort Missoula Rd, Suite 202, Missoula, MT 59804-7423 2015-06-19
1588062509 Rchp Billings - Missoula LLC Pharmacy 2835 Fort Missoula Rd, Missoula, MT 59804-7423 2014-12-08
1497185722 Katelyn Stetzner Registered Nurse 2835 Fort Missoula Rd, Suite 102, Missoula, MT 59804-7423 2013-11-22
1639417041 Tiffany Michelle Ford Nurse Practitioner 2835 Fort Missoula Rd, Physician Center # 3, Missoula, MT 59804-7423 2013-01-18
1598018939 Catherine Charlagne Capps Specialist 2835 Fort Missoula Rd, Ste 203, Missoula, MT 59804-7423 2012-10-23
1205117785 Ryan Barrett Nurse Practitioner 2835 Fort Missoula Rd, Missoula, MT 59804-7423 2011-08-29
1851691208 Community Medical Center Inc Pharmacy 2835 Fort Missoula Rd, Missoula, MT 59804-7423 2010-11-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063019297 Momentum Speech Therapy, PC Speech-Language Pathologist 9885 O'brien Creek Road, Missoula, MT 59804 2020-10-01
1033633037 Marissa Clark Genetic Counselor, MS 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 2017-08-01
1104295245 Scott Richter Specialist/Technologist 2892 Ringo Dr, Missoula, MT 59804 2015-09-18
1467860353 Zachary Ueland Pharmacist 4000 Highway 93 South, Missoula, MT 59804 2014-07-24
1316378185 Tracy Laurel Brothers Counselor 1305 Wyoming Street, Missoula, MT 59804 2013-12-04
1447683651 Granite Pharmacy Missoula, LLC Durable Medical Equipment & Medical Supplies 2230 27th Ave. West, Suite 2, Missoula, MT 59804 2013-08-12
1871843953 Autum Emerson Howell Nurse Practitioner 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 2012-09-14
1821353939 Carlyn Doyle Nurse Practitioner 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 2012-07-05
1396011961 Patricia Jean Evans Internal Medicine 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 2012-03-28
1205126794 Pacific Medical, Inc. Prosthetic/Orthotic Supplier 2732 South Ave West, Suite 202, Missoula, MT 59804 2011-04-18
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538423207 Earle Robert Shields Pediatrics 6111 Miller Creek Rd, Missoula, MT 59803-9507 2012-06-27
1407055130 Christopher Jons Pediatrics 601 W Spruce St Ste K, Missoula, MT 59802-4047 2007-07-12
1942210166 Thomas Randall Pediatrics 2835 Fourt Missoula Rd, Ste 205 Missoula Family Pediatrics, Missoula, MT 59804 2006-08-09
1750317558 Karen Betts Mielke Pediatrics 500 W. Broadway St, Missoula, MT 59806-4587 2006-06-23
1457393357 Lauren K Willis Pediatrics 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804-7423 2006-06-12
1841247467 Dirk R Gottman Pediatrics 2835 Fort Missoula Road, Missoula, MT 59804-7408 2006-05-28
1023542388 University of Utah Pediatric Services Pediatrics 2360 Mullan Rd, Sutie C, Missoula, MT 59808-1811 2017-04-13
1982135216 Meeka Pradeep Gandhi Pediatrics 500 W Broadway St, Missoula, MT 59802-4008 2017-03-27
1043605843 Jennifer Reck Pediatrics 2835 Fort Missoula Rd # 3, Missoula, MT 59804 2015-03-30
1568808525 Jennifer Wilkinson Pediatrics 3075 N Reserve St Ste Q, Missoula, MT 59808-1390 2013-05-17
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Competitor

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City MISSOULA
Zip Code 59804

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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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