Provider Demographics
NPI:1053381533
Name:SIMMS, DAVID L (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:SIMMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2222 E HIGHLAND AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4876
Mailing Address - Country:US
Mailing Address - Phone:602-264-4834
Mailing Address - Fax:602-257-8319
Practice Address - Street 1:5750 W. THUNDERBIRD RD
Practice Address - Street 2:SUITE A-100
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4660
Practice Address - Country:US
Practice Address - Phone:602-938-3205
Practice Address - Fax:602-938-5799
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2018-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ18526207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0819080OtherBC/BS PROVIDER ID
AZ707549Medicaid
AZ286238Medicaid
D35280Medicare UPIN
AZ707549Medicaid
AZ286238Medicaid