Provider Demographics
NPI:1427095058
Name:SIMMONS, ADAM D (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:D
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CAREW ST
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2485
Mailing Address - Country:US
Mailing Address - Phone:413-781-5050
Mailing Address - Fax:413-781-2510
Practice Address - Street 1:300 CAREW ST
Practice Address - Street 2:SUITE # 2
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2485
Practice Address - Country:US
Practice Address - Phone:413-781-5050
Practice Address - Fax:413-781-2510
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2254932084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110073902Medicaid
1427095058Medicare PIN