Todd M Simmons (NPI# 1679002497, PAC ID# 8426328931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1679002497 |
| PAC ID by PECOS | 8426328931 |
| Professional Enrollment ID | I20190712001676 |
| Full Name | Todd M Simmons |
| Organization Legal Name | PARK CENTER INC |
| Address |
2710 Lake Ave Fort Wayne IN 46805-5412 |
| Phone Number | 2604812700 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 5991794794 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2710 Lake Ave, Fort Wayne, IN 46805-5412 | 2604812700 | PARK CENTER INC |
| Organization Legal Name | PARK CENTER INC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Crago | Clinical Social Worker | Park Center Inc | 809 High St, Decatur, IN 46733-2324 |
| Courtney L Washington | Psychologist, Clinical | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Andrea H Naaum | Psychiatry | Park Center Inc | 1909 Carew St, Fort Wayne, IN 46805-4707 |
| Melinda Davis | Clinical Social Worker | Park Center Inc | 2700 Lafayette St, Fort Wayne, IN 46806-1100 |
| Melodie A Gavin | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Teagan R Rhoades | Physician Assistant | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Melissa Ann Terry | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Larry H Lambertson | Neuropsychiatry | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Edith L Kenna | Clinical Social Worker | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Valerie J Rumple | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Street Address |
2710 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip | 46805-5412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew D Hess | Family Medicine | Parkview Health System Inc | 2710 Lake Ave, Fort Wayne, IN 46805-5412 |
| Courtney L Nelson | Nurse Practitioner | Parkview Health System Inc | 2710 Lake Ave, Fort Wayne, IN 46805-5412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia R Swank | Optometry | Midwest Eye Consultants PC | 431 W Coliseum, Fort Wayne, IN 46805-1010 |
| Joseph M Mattox | Family Medicine | Parkview Ortho Performance Center LLC | 3946 Ice Way, Parkview Ortho Performance Center, Fort Wayne, IN 46805-1018 |
| Jodi L Chambers | Physician Assistant | Parkview Ortho Performance Center LLC | 3946 Ice Way, Parkview Ortho Performance Center, Fort Wayne, IN 46805-1018 |
| Zubair A Khan | Optometry | Fort Wayne Vision Associates Ltd | 515 E Coliseum Blvd, Fort Wayne, IN 46805-1215 |
| Prevesh K Rustagi | Psychiatry | 3400 E Coliseum Blvd, Suite 340, Fort Wayne, IN 46805-1656 | |
| Syed M Sohail | Internal Medicine | Fort Wayne Medical Clinic PC | 3411 N Anthony Blvd, Suite 2, Fort Wayne, IN 46805-2233 |
| Aaron Christopher Frey | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| Myra R Weber | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| David S Millay | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| Emma Shoemaker | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| Find all physicians in zip 46805 | |||
| City | FORT WAYNE |
| Zip Code | 46805 |
| Specialty | PSYCHIATRY |
| City + Specialty | FORT WAYNE + PSYCHIATRY |
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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.