Healthcare Provider Details
I. General information
NPI: 1841602943
Provider Name (Legal Business Name): SARAH BEER SIMMONS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/22/2014
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2235 JACOB DR
CHALMETTE LA
70043-5817
US
IV. Provider business mailing address
5531 LAUREL ST
NEW ORLEANS LA
70115-2045
US
V. Phone/Fax
- Phone: 504-278-6738
- Fax: 504-278-6748
- Phone: 404-372-3185
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 2019003293 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 338934 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: