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DR. CAROLYN ELIZABETH SIMMONS M.D.
NPI 1417937673
Family Medicine in Canyonville, OR

Active since January 21, 2006
480 WARTAHOO LN, CANYONVILLE, OR 97417(541) 839-1345(855) 670-1791 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2019, Sep 14, 2018 (2 updates tracked since 2018).

About Dr. Carolyn Elizabeth Simmons M.d. NPPES

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

DR. CAROLYN ELIZABETH SIMMONS M.D. (NPI 1417937673) is an individual family medicine provider in Canyonville, Oregon, licensed in Oregon (MD170122) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1417937673
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CAROLYN ELIZABETH SIMMONSCredential: M.D.
Location Address480 WARTAHOO LNCanyonville, OR 97417-9683
Mailing Address2371 Ne Stephens St Ste 200Roseburg, OR 97470-1399 · (541) 672-8533
Phone(541) 839-1345
Fax(855) 670-1791
Sole ProprietorNo
Enumeration DateJanuary 21, 2006
Last NPPES UpdateApril 1, 20192 updates tracked since enumeration
✔ NPI 1417937673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · MD170122✔ Licensed in NV · 9151✔ Licensed in WA · MD60385919
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
480 WARTAHOO LN, Canyonville, OR 97417
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Other Names 1

Former Name (1)Carolyn Simmons-rancour M.d.

Other Identifiers 5

OtherCS09655NV · Nv Board Of Pharmacy
OtherMD60385919WA · Washington State Department Of Health
Medicaid20-16738NV
OtherMD170122OR · Oregon Medical Board
Other9151NV · Nevada State Board Of Med

Other Providers at the Same Location NPPES 2

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

COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
Clinic/Center (Federally Qualified Health Center (FQHC))
480 WARTAHOO LN
CANYONVILLE, OR 97417
Douglas County (541) 839-1345
VALERIE LEE RENEAU LMT
Massage Therapist
480 WARTAHOO LN
CANYONVILLE, OR 97417
Douglas County (541) 672-8533

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 Carolyn Simmons's NPI number?

The NPI number for Carolyn Simmons is 1417937673. It was assigned to this individual provider in the NPPES registry on January 21, 2006. The provider is also known as Carolyn Simmons-Rancour M.D..

Where is Carolyn Simmons located?

Carolyn Simmons practices at 480 Wartahoo Ln, Canyonville, OR 97417. The listed phone number is (541) 839-1345.

What is Carolyn Simmons's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Carolyn Simmons was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.