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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

Organization: GARBER KAPLAN DOUDS PLLC

PECOS Registration: Yes

Address:
3012 S DURANGO DR
LAS VEGAS, NV
ZIP 89117
Phone: (702) 835-0088
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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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • Insertion of spinal instrumentation for spinal stabilization (HCPCS:22851)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)
  • Fusion of spine bones with removal of disc at upper spinal column, anterior approach (HCPCS:22551)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2363AS0400XPhysician AssistantSurgicalPA1272NEVADAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11902111792MEDICAIDNEVADA
2FF014ZOTHERNEVADAMEDICARE 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.