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1063892990 NPI number — ADAM SIMMONS DPM

NPI Number: 1063892990
Health Care Provider/Practitioner: ADAM SIMMONS DPM

Information about “1063892990” NPI (ADAM SIMMONS DPM) exists in 1063892990 in HTML format HTML  |  1063892990 in plain Text format TXT  |  1063892990 in PDF (Portable Document Format) PDF  |  1063892990 in an XML format XML  formats.

NPI Number : 1063892990 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063892990",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SIMMONS",
    "FirstName": "ADAM",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "708 S MILL ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLFAX",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99111-1740",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-566-2079",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "708 S MILL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLFAX",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99111-1740",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-566-2079",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/05/2015",
    "LastUpdateDate": "02/23/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "213E00000X",
          "TaxonomyName": "Podiatrist",
          "LicenseNumber": "PO4033",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "213E00000X",
          "TaxonomyName": "Podiatrist",
          "LicenseNumber": "POD1107",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "213ES0103X",
          "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
          "LicenseNumber": "PO61212546",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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