RYAN FRED SIMONS PA-C NPI 1902111792

NPI Information

NPI: 1902111792
Provider Name: RYAN FRED SIMONS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3012 S DURANGO DR
LAS VEGAS, NV
ZIP 89117
Phone: (702) 835-0088
Get Directions

Ryan Fred Simons, PA-C is a surgical physician assistant in Las Vegas, NV with 15 years of experience. Ryan Fred Simons, PA-C NPI is 1902111792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3012 S DURANGO DR
LAS VEGAS, NV
ZIP 89117-186
Phone: (702) 835-0088
Fax: (702) 826-3162

The NPI 1902111792 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2010 and was last updated on 11/19/2020.

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	363A00000X	Physician Assistant				No
2	363AS0400X	Physician Assistant	Surgical	PA1272	NEVADA	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	1902111792	MEDICAID	NEVADA
2	FF014Z	OTHER	NEVADA	MEDICARE PTAN

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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