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Contact Information

JOHN R SIMMONS, DO
793 EASTERN BYP
G2
RICHMOND, KY40475-2422
 Phone: 859-626-0074
 Fax: 859-626-3265
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JOHN R SIMMONS · (Male)

NPI # 1689760944
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/05/2006
Last updated 05/10/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 03050
  • ND License # 10311
  • OH License # 34.008732
  • KY Medicaid 7100024870
  • OH Medicaid 0082508
  • OH Other PO1231527 RR MEDICARE
Hospital affiliation(s)
  • LAKEVIEW MED CENTER - (Acute Care)
    1700 WEST STOUT STREET
    RICE LAKE, WI 54868
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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