MR. THOMAS GODON SIMMONS (NPI# 1366422404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366422404 |
Entity Type | Individual |
Full Name | MR. THOMAS GODON SIMMONS |
Credential | P.A. |
Practice Address |
3276 N Northhills Blvd Fayetteville AR 72703-4005 |
Practice Telephone | 4795871114 |
Practice Fax Number | 4795871119 |
Mailing Telephone | 4795871114 |
Mailing Fax Number | 4795871119 |
Enumeration Date | 2006-01-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-147 | AR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679643936 | Thomas Curtis Simmons | Physical Therapist | 201 S El Camino Real Ste A, Encinitas, CA 92024-4150 | 2006-11-08 |
1144313305 | Thomas Simmons | Optometrist | 741 S 50 W, Ste B, Victor, ID 83455 | 2006-10-02 |
1386745008 | Thomas Charles Simmons | Specialist/Technologist | 1100 2nd St Se, Middle Georgia College, Cochran, GA 31014-1564 | 2006-09-26 |
1538177068 | Thomas Alan Simmons | Dentist | 6861 Coit Rd, Suite A, Plano, TX 75024-5444 | 2006-08-03 |
1225488513 | Thomas E. Simmons Jr. | Counselor | 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 | 2016-06-16 |
1316238330 | Thomas Wortham Simmons Jr. | Pharmacist | 833 Forest Pkwy, Forest Park, GA 30297-2210 | 2011-04-25 |
1285895995 | Thomas Vernon Simmons | Pharmacist | 251 Cohasset Rd, Suite 145, Chico, CA 95926-2241 | 2008-06-24 |
1124091186 | Thomas J Simmons | Pathology | 390 E Longview St, Fayetteville, AR 72703-4618 | 2006-02-09 |
1558331678 | Thomas Simmons | Anesthesiologist Assistant | 405 Arrowhead Blvd, Suite C, Jonesboro, GA 30236-1254 | 2006-01-23 |
1295713691 | Thomas Alan Simmons | Dentist | 245 S Ridge St, Port Sanilac, MI 48469-9704 | 2006-01-05 |
Street Address |
3276 N NORTHHILLS BLVD |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72703-4005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679552970 | Washington Regional Medical System | Specialist | 3276 N Northhills Blvd, Fayetteville, AR 72703 | 2006-01-13 |
1780218206 | Tara Howerton | Nurse Practitioner | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-02-24 |
1235779349 | Meagan Nicole Backs | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-01-07 |
1356842884 | Washington Regional Medical System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2018-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
Find all providers in zip 72703 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083046635 | Jason David Kranenburg | Physician Assistant | 170 Hayden Ct, Fayetteville, GA 30215-2549 | 2013-08-06 |
1831391655 | Mandy Suzanne Mooneyham | Physician Assistant | 3053 N College Ave, Fayetteville, AR 72703-3417 | 2007-06-04 |
1730266453 | Mary Lee Cudd | Physician Assistant | 1774 Metromedical Drive, Fayetteville, NC 28304 | 2006-11-01 |
1043318611 | Dena Marie Pozeg | Physician Assistant | 4140 Ferncreek Drive, Suite 601, Fayetteville, NC 28314-2569 | 2006-09-20 |
1407460843 | Alexandra Paige Brown | Physician Assistant | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2020-09-02 |
1134668007 | Gerald Crist | Physician Assistant | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2017-02-13 |
1477941367 | Sarah Busbin | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-12-31 |
1265820260 | Ashley Ronk | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-12-30 |
1275894826 | Timothy Richard Key | Physician Assistant | 115 Edenton Estates Dr, Fayetteville, GA 30214-4442 | 2012-05-30 |
1932258993 | Alexandra Fischell Fitzgerald | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2007-01-09 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 72703 |
Please comment or provide details below to improve the information on MR. THOMAS GODON SIMMONS.
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.