SHARONELLE SIMMONS M.D NPI 1295057354

NPI Information

NPI: 1295057354
Provider Name: SHARONELLE SIMMONS, M.D
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6200 S MCCLINTOCK DR STE 104
TEMPE, AZ
ZIP 85283
Phone: (480) 388-3666
Get Directions

SHARONELLE SIMMONS, M.D is a family medicine in Tempe, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHARONELLE SIMMONS, M.D NPI is 1295057354. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6200 S MCCLINTOCK DR STE 104
TEMPE, AZ
ZIP 85283-268
Phone: (480) 388-3666
Fax: (480) 388-3667

The provider's authorized official is Sharonelle Simmons .
The authorized official title is Member/medical Director and has the following contact phone number (480) 949-1182.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 2/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health			No
2	207Q00000X	Family Medicine		13628	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2569417	OTHER	ARIZONA	AETNA
2	D37655	MEDICARE UPIN	ARIZONA
3	AZ0071880	OTHER	ARIZONA	BC/BS OF AZ.
4	1Z7430	OTHER		HEALTHNET

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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