CALVIN ROBERT SIMMONS NP
NPI 1265514624
Nurse Practitioner in Syracuse, NY

Q: What is Calvin Simmons's NPI number?

The NPI number for Calvin Simmons is 1265514624. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Calvin Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Calvin Simmons was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 19, 2006

4900 BROAD RD, POB NORTH, SUITE 2S, SYRACUSE, NY 13215(315) 492-5791(315) 492-5855 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Calvin Robert Simmons Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALVIN ROBERT SIMMONS NP (NPI 1265514624) is an individual nurse practitioner in Syracuse, New York, licensed in New York (F333058) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1265514624

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameCALVIN ROBERT SIMMONSCredential: NP

Location Address4900 BROAD RD, POB NORTH, SUITE 2SSyracuse, NY 13215-2265

Mailing Address1001 W Fayette St, Suite 400Syracuse, NY 13204-2859 · (315) 472-1488 · Fax (315) 476-1792

Phone(315) 492-5791

Fax(315) 492-5855

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateDecember 2, 2008

✔ NPI 1265514624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · F333058

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4900 BROAD RD, Syracuse, NY 13215

Open in Google Maps ↗

Other Identifiers 4

Medicare PINP00439029NY

Medicare UPINQ65173NY

Medicare PINRB2350NY

Medicare PINP00636888NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IANNA JAVIER GARCIA OTR/L

Occupational Therapist

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 492-5011

ROBERT A WORDEN CRNA

Nurse Anesthetist, Certified Registered

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 492-5522

HEIDI GLOVACK CRNA

Nurse Anesthetist, Certified Registered

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 492-5553

JOHN F MURPHY CRNA

Nurse Anesthetist, Certified Registered

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 470-7828

MS. TERRY LEE WHITE RN FNP

Nurse Practitioner (Family)

4900 BROAD RD, SUITE 4K
SYRACUSE, NY 13215

Onondaga County (315) 492-5784

MS. SIGRID A. MARFO CRNA

Nurse Anesthetist, Certified Registered

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 492-5522

SURJIT K DHAMOON MD PC

Psychiatry & Neurology (Neurology)

4900 BROAD RD, CGH POB SUITE 2F
SYRACUSE, NY 13215

Onondaga County (315) 492-5841

MR. R. THOMAS WEINHEIMER P.A.

Physician Assistant

4900 BROAD RD
SYRACUSE, NY 13215

Onondaga County (315) 251-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Calvin Simmons's NPI number?

The NPI number for Calvin Simmons is 1265514624. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Calvin Simmons located?

Calvin Simmons practices at 4900 Broad Rd Pob North, Suite 2S, Syracuse, NY 13215. The listed phone number is (315) 492-5791.

What is Calvin Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Calvin Simmons was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.