GARY EDWARD SIMMONS (NPI# 1265438691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265438691 |
| Entity Type | Individual |
| Full Name | GARY EDWARD SIMMONS |
| Credential | M.D. |
| Practice Address |
4005 24th St Lubbock TX 79410-1835 |
| Practice Telephone | 8067922767 |
| Practice Fax Number | 8067916709 |
| Mailing Telephone | 8067922767 |
| Mailing Fax Number | 8067916709 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
L1748 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 26050561 | 05 | |
| TX | BLUE CROSS | 8G1350 | 01 |
| FIRST HEALTH | 1236695 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104961515 | Gary Michael Simmons | Pharmacist | 909 W Pine St, Suite 1, Poplar Bluff, MO 63901-4958 | 2007-02-21 |
| 1144761461 | Gary Simmons | Pharmacist | 103 Medicine Way, Peridot, AZ 85542 | 2017-03-20 |
| 1437608213 | Gary Simmons | Pathology | 619 19th St S, Hsb 175, Birmingham, AL 35249-1900 | 2016-09-22 |
| 1902143704 | Gary Simmons | Pharmacist | 5370 Campbellton Fairburn Rd, Fairburn, GA 30213-2296 | 2013-01-14 |
| 1073880340 | Gary Marc Simmons | Psychologist | 100 North Main Street, Scu, Ward D, Chattahoochee, FL 32304 | 2011-11-30 |
| 1770802373 | Gary L Simmons | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Im: Hematology Oncology, Richmond, VA 23298-5051 | 2010-05-21 |
| 1285820357 | Gary Simmons | Counselor | 1001 Tower Way Ste 110, Bakersfield, CA 93309-1586 | 2007-09-21 |
| 1588670517 | Gary Alfred Simmons | Anesthesiology | 4401 Harrison Boulevard, Mckay Dee Hospital, Ogden, UT 84403 | 2006-07-31 |
| Street Address |
4005 24TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020318 | Brian James Bruening | Radiology | 4005 24th St, Lubbock, TX 79410-1835 | 2005-06-01 |
| 1861805913 | James Montgomery | Radiology | 4005 24th St, Lubbock, TX 79410-1815 | 2014-06-06 |
| 1760639256 | Cassy Lynn Cook | Radiology | 4005 24th St, Lubbock, TX 79410-1815 | 2008-08-26 |
| 1053439935 | Gregory Scott Poe | Radiology | 4005 24th St, Lubbock, TX 79410-1835 | 2007-03-27 |
| 1215028501 | Lubbock Diagnostic Radiology, L.l.p. | Radiology | 4005 24th St, Lubbock, TX 79410-1835 | 2006-09-28 |
| 1508809138 | Thomas E Callahan IIi | Radiology | 4005 24th St, Lubbock, TX 79410-1835 | 2006-06-13 |
| 1881666170 | William E Winn Jr. | Radiology | 4005 24th St, Lubbock, TX 79410-1815 | 2006-02-02 |
| 1588654107 | Michael E Knapp | Radiology | 4005 24th St, Lubbock, TX 79410-1835 | 2005-10-25 |
| 1447256524 | James Townsend Wolfe | Radiology | 4005 24th St, Lubbock, TX 79410-1835 | 2005-06-23 |
| 1164428249 | Douglas Henry Wright | Radiology | 4005 24th St, Lubbock, TX 79410-1835 | 2005-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220110 | David Eric Blackwell | Radiology | 3601 4th St, Suite 3b100, Lubbock, TX 79430-8340 | 2005-10-24 |
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| 1003420779 | Millennium Radiology Inc | Radiology | 9123 Osage Vly, San Antonio, TX 78251-1739 | 2020-09-01 |
| 1043823537 | Richer Fu | Radiology | 7234 S Dairy Ashford Rd, Houston, TX 77072-2110 | 2020-08-25 |
| 1477174993 | Arvin Penacerrada | Radiology | 111 Vision Park Blvd Ste 250, Shenandoah, TX 77384-3004 | 2020-05-06 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1750914057 | Samuel Oltunji Apata | Radiology | 19618 Heritage Elm Ct, Houston, TX 77084-4390 | 2020-02-15 |
| 1922669035 | Westchase Diagnostic Imaging Center LLC | Radiology | 13450 Richmond Ave Ste 300, Houston, TX 77082-6895 | 2019-06-28 |
| 1558825869 | Ellen Catherine Leone | Radiology | 7400 Louis Pasteur Dr Ste 106, San Antonio, TX 78229-4510 | 2019-01-31 |
| 1598269276 | Veronica Hernandez | Radiology | 13831 Northwest Fwy Ste 110, Houston, TX 77040-5232 | 2018-03-19 |
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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.