1396044582 NPI number — CATHYANN SIMMONS L.P.C.

Table of content: CATHYANN SIMMONS L.P.C. (NPI 1396044582)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396044582 NPI number — CATHYANN SIMMONS L.P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SIMMONS
Provider First Name:
CATHYANN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
L.P.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SIMMONS
Provider Other First Name:
CATHYANN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
L.M.T.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1396044582
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/01/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
76 PARK AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST VIEW
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15229-2008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-951-9388
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5300 PERRYSVILLE ROAD
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15229-2105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-951-9388
Provider Business Practice Location Address Fax Number:
412-931-0917
Provider Enumeration Date:
03/28/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  MSG000316 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: PC005835 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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