DR. JACK E SIMONS (NPI# 1902020936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902020936 |
| Entity Type | Individual |
| Full Name | DR. JACK E SIMONS |
| Credential | D.O. |
| Practice Address |
2 Lochhaven Ln Manchester MO 63021-8020 |
| Practice Telephone | 3144200104 |
| Mailing Telephone | 3144200104 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | R5F87 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114225612 | Jack D Simons | Counselor | 225 S Meramec Ave Ste 211, Saint Louis, MO 63105-3511 | 2011-03-07 |
| Street Address |
2 LOCHHAVEN LN |
| City | MANCHESTER |
| State | MO |
| Zip Code | 63021-8020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1609285816 | Daniel Rackovan | Specialist/Technologist | 13537 Barret Pkwy Dr, 105, Ballwin, MO 63021 | 2014-08-13 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1831444694 | Manuel A. Ventus | General Practice | 651 Kerryton Pl. Circle, Balwin, MD 63021 | 2012-07-18 |
| 1073879052 | Delois Ann Hurst | Podiatrist | 1393 Big Bend Rd, Ballwin, MO 63021 | 2012-04-04 |
| 1841566445 | Elizabeth Riedel | Home Health | 13610 Barrett Office Drive, Manchester, MO 63021 | 2012-03-28 |
| Find all providers in zip 63021 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529621 | Hometown Family Medical | Emergency Medicine | 909 Hillsboro Blvd, Manchester, TN 37355-2025 | 2018-05-22 |
| 1528148632 | Ronald Leon Williams | Emergency Medicine | 1611 Mcarthur St, Manchester, TN 37355-2532 | 2006-10-16 |
| 1538257076 | Ahmed El Gammal | Emergency Medicine | 509 Memorial Drive, Suite 2, Manchester, KY 40962-6195 | 2006-10-10 |
| 1780783308 | Brian Francis Miller | Emergency Medicine | 92 School St, Manchester, MA 01944-1139 | 2006-09-21 |
| 1790792141 | Neil Edward Christopher Jr. | Emergency Medicine | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2006-08-01 |
| 1427097120 | Jeffrey L Newswanger | Emergency Medicine | 210 Marie Langdon Drive, Manchester, KY 40962-6388 | 2006-06-06 |
| 1881676856 | David G Florence | Emergency Medicine | 804 Keylon St, Manchester, TN 37355-2414 | 2005-11-16 |
| 1467433623 | Harry Albert Bartee Jr. | Emergency Medicine | 193 Relco Dr, Manchester, TN 37355-7386 | 2005-11-07 |
| 1285627935 | Elliot Professional Services | Emergency Medicine | 1070 Holt Ave, Unit 1, Suite 2200, Manchester, NH 03109-5603 | 2005-08-29 |
| 1558914242 | Wellspan Medical Group | Emergency Medicine | 4050 N George Street Ext, Manchester, PA 17345-9347 | 2019-07-22 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 63021 |
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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.