DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. SHIRLEY SIMMONS PA-C

MEDICARE: MRS. SHIRLEY SIMMONS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant01043WV
2363A00000XPhysician Assistant1043WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11043OTHERWVPA-C LICENSE

General Provider Information

NPI Number : 1386678035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHIRLEY SIMMONS PA-C
Provider Business Mailing Address
First Line : PO BOX 1615
Second Line : MONONGALIA GENERAL HOSPITAL
City : MORGANTOWN
State : WV
Zip : 26507-1615
Country : US
Telephone Number : 304-598-1200
Fax Number : 304-598-1457
Provider Business Practice Location Address
First Line : 120 PROFESSIONAL PL STE 101
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-4599
Country : US
Telephone Number : 304-513-3495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 06/02/2026

Similar Medicare Providers

1962569491 — DENISE NOEL AMMONS MA, LSW, LPC, CCAC
Practice Location Address:
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV
26330-4599
Practice Phone: 304-513-3495
Practice Fax: 800-734-8498
1235377896 — DR. JAMES W LEONETTE D.C.
Practice Location Address:
130 PROFESSIONAL PL
BRIDGEPORT, WV
26330-4599
Practice Phone: 304-933-9355
Practice Fax: 304-278-3348
1922354331 — TAMMY KAY STUTLER MS, LPC
Practice Location Address:
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV
26330-4599
Practice Phone: 304-513-3495
Practice Fax:
1811240716 — ELIZABETH CALEF-BORING LCSW
Practice Location Address:
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV
26330-4599
Practice Phone: 304-396-8878
Practice Fax:
1083959803 — JILL NICOLE STRASSER MSN, APRN, FNP-BC
Practice Location Address:
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV
26330-4599
Practice Phone: 304-460-5123
Practice Fax: 800-734-8498
1326586553 — DR. STEVEN TODD SHOW D.C.
Practice Location Address:
130 PROFESSIONAL PL
BRIDGEPORT, WV
26330-4599
Practice Phone: 304-933-9355
Practice Fax:

Directions to “ MRS. SHIRLEY SIMMONS PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.