Michael J Simmons (NPI# 1366554586, PAC ID# 3678507118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1366554586 |
| PAC ID by PECOS | 3678507118 |
| Professional Enrollment ID | I20100818000331 |
| Full Name | Michael J Simmons |
| Organization Legal Name | JEFFERSON CITY MEDICAL GROUP PC |
| Address |
1055 Ozark Care Dr A Ear Nose Throat and Sinus Surgery Osage Beach MO 65065-3016 |
| Phone Number | 5733480826 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 1850371089 |
| Number of Group Practice Members | 112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260011 | SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY |
| Address | Phone | Organization |
|---|---|---|
| 1241 W Stadium Blvd 1st Flr Pod, 1000 Ear Nose Throat and Sinus Surgery, Jefferson City, MO 65109-6023 | 5735567708 | JEFFERSON CITY MEDICAL GROUP PC |
| 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 | 5735565771 | JEFFERSON CITY MEDICAL GROUP PC |
| 1055 Ozark Care Dr, Suite A, Osage Beach, MO 65065-3016 | 5733480825 | JEFFERSON CITY MEDICAL GROUP PC |
| 1055 Ozark Care Dr A, Ear Nose Throat and Sinus Surgery, Osage Beach, MO 65065-3016 | 5733480826 | JEFFERSON CITY MEDICAL GROUP PC |
| Organization Legal Name | JEFFERSON CITY MEDICAL GROUP PC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn Ellen Powers | Nurse Practitioner | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
| Tracy J Guthrie | Nurse Practitioner | Jefferson City Medical Group PC | 2303 S Hwy 65 A, Missouri Valley Physicians A Division of Jcmg, Marshall, MO 65340-3735 |
| Joyce Wilson | Hand Surgery | Jefferson City Medical Group PC | 1225 W Stadium Blvd, Jefferson City, MO 65101 |
| Willis H Hoyt Iii | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr, Suite A, Osage Beach, MO 65065-3016 |
| Douglas J Howland | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr A, Ear Nose Throat and Sinus Surgery, Osage Beach, MO 65065-3016 |
| Judy A Wienke | Nurse Practitioner | Jefferson City Medical Group PC | 606 E Buchanan St, Family Health Clinic, California, MO 65018-1910 |
| Michael Steenbergen | Family Medicine | Jefferson City Medical Group PC | 1306 E Main St, Linn, MO 65051-2503 |
| Thomas Schneider | Pulmonary Disease | Jefferson City Medical Group PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Saira Babar | Family Medicine | Jefferson City Medical Group PC | 1735 Elm Ct, Jefferson City, MO 65101-4129 |
| Philip L Rumbaoa | Family Medicine | Jefferson City Medical Group PC | 5816 Osage Beach Pkwy, Suite 105, Osage Beach, MO 65065-3046 |
| Street Address |
1055 OZARK CARE DR A EAR NOSE THROAT AND SINUS SURGERY |
| City | OSAGE BEACH |
| State | MO |
| Zip | 65065-3016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas J Howland | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr A, Ear Nose Throat and Sinus Surgery, Osage Beach, MO 65065-3016 |
| Reese E Thompson | Otolaryngology | Jefferson City Medical Group PC | 1055 Ozark Care Dr A, Ear Nose Throat and Sinus Surgery, Osage Beach, MO 65065-3016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Foster | Chiropractic | 4681 Hwy 54 Kings Plz 6, Osage Beach, MO 65065 | |
| Charles H Pike Iii | Chiropractic | Pike Chiropractic | 4075 Osage Beach Pkwy, Suite 200, Osage Beach, MO 65065-2153 |
| Amy S Pike | Chiropractic | Pike Chiropractic | 4075 Osage Beach Pkwy, Suite 200, Osage Beach, MO 65065-2153 |
| Karen S Hayes | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Jeannie M Carlton | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Christine A Livek | Family Medicine | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Gwendolyn Ann Broyles | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Laura M Thompson | Nurse Practitioner | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Kenneth J Fattmann | Psychiatry | Nhc Reliant Psychiatric Services LLC | 840 Passover Rd, Osage Beach, MO 65065-2834 |
| Benny E Thomas | Family Practice | 840 Passover Rd, Osage Beach, MO 65065-2834 | |
| Find all physicians in zip 65065 | |||
| City | OSAGE BEACH |
| Zip Code | 65065 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | OSAGE BEACH + OTOLARYNGOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.