MEDICARE: PIERRE SIMMONS

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
1	343900000X	Non-emergency Medical Transport (VAN)	SK656950	OH

General Provider Information

NPI Number	:	1437094174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PIERRE SIMMONS

Provider Business Mailing Address
First Line	:	491 E 115TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-1462
Country	:	US
Telephone Number	:	216-400-3208
Fax Number	:

Provider Business Practice Location Address
First Line	:	491 E 115TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44108-1462
Country	:	US
Telephone Number	:	216-400-3208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ PIERRE SIMMONS ” Practice Location

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