EVERETT B. SIMMONS,JR.,M.D.,P.C.


Address: 20905 Greenfield Rd, 607, Southfield, MI 48075-5360
Phone: 2485573303

EVERETT B. SIMMONS,JR.,M.D.,P.C. (NPI# 1861754152) 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) 1861754152
Entity Type Organization
Organization Name EVERETT B. SIMMONS,JR.,M.D.,P.C.
Practice Address 20905 Greenfield Rd
607
Southfield
MI 48075-5360
Practice Telephone 2485573303
Enumeration Date 2012-06-12
Last Update Date 2012-06-12
Authorized Official Name EVERETT BANNAKER SIMMONS JR. (OWNER)
Authorized Official Telephone 2485573303
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Office Location

Street Address 20905 GREENFIELD RD
607
City SOUTHFIELD
State MI
Zip Code 48075-5360

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669439915 All American Rehab Care Clinic/Center 20905 Greenfield Rd, Suite 300, Southfield, MI 48075-5360 2006-04-28
1295281582 Mohamed Makki Physical Therapy Assistant 20905 Greenfield Rd, Suite 300 M, Southfield, MI 48075-5360 2016-08-28
1699131698 Roxann Baker Dds PC Dentist 20905 Greenfield Rd, 208, Southfield, MI 48075-5360 2016-01-06
1629494422 Tara L Walker Nurse Practitioner 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 2014-03-17
1265874945 Greenfield and 9 Mile Medical Center Pllc Family Medicine 20905 Greenfield Rd, Ste 607m, Southfield, MI 48075-5360 2013-07-23
1053663575 Rsmd Pllc Internal Medicine 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 2012-10-08
1538417654 R S Medical Services Plc Internal Medicine 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 2012-08-21
1912282096 Melissa Ann Mack Nurse Practitioner 20905 Greenfield Rd, Suite 502, Southfield, MI 48075-5360 2011-10-20
1508182288 Comprehensive Oral Healthcare PC Dentist 20905 Greenfield Rd, Suite 601, Southfield, MI 48075-5360 2010-04-20
1063735934 Advanced Therapeutic Medical Services Pllc General Practice 20905 Greenfield Rd, Suite 205m, Southfield, MI 48075-5360 2010-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1265056410 Husein Yusuf Husein Podiatrist Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 2020-06-03
1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
1801304241 Absolute Hc LLC Physical Therapist 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 2018-01-19
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235544941 Ross Joseph Brothers Dermatology 29355 Northwestern Hwy Ste 200, Southfield, MI 48034 2014-06-23
1073792917 Family Dermatology Center, P.C. Dermatology 20555 W. 12 Mile Rd, Southfield, MI 48076 2007-10-29
1205222171 Wasim Nasir Dermatology 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2015-04-08
1548571821 Marian Ibrahim Dermatology 26400 W 12 Mile Rd Ste 150, Southfield, MI 48034-1771 2010-07-01
1598959603 The Skin Cancer Center of Se Michigan PC Dermatology 26400 W 12 Mile Rd, Suite 180, Southfield, MI 48034-1700 2007-08-31
1912069964 Franklin Dermatology and Surgery Center, P.C. Dermatology 26400 W 12 Mile Rd, Suite 150, Southfield, MI 48034-1700 2006-12-15
1376556712 Bobbi Edwards Dermatology 24901 Northwestern Hwy, Suite 214, Southfield, MI 48075 2006-08-15
1659301067 Martin Edward Tessler Dermatology 26400 W 12 Mile Rd, Suite 150, Southfield, MI 48034 2006-07-03
1154368165 Mark Allyn Stiff Dermatology 26400 W 12 Mile Rd, Suite 180, Southfield, MI 48034-1700 2006-05-31
1346231214 Steven M Shumer Dermatology 26400 W 12 Mile Rd, Ste 150, Southfield, MI 48034 2005-10-31
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Competitor

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City SOUTHFIELD
Zip Code 48075

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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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