Provider Demographics
NPI:1205840360
Name:SIMMONS, ASHLEY RUZICKA (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:RUZICKA
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 CAMBRIDGE ST STE G600
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8501
Mailing Address - Country:US
Mailing Address - Phone:913-588-9600
Mailing Address - Fax:
Practice Address - Street 1:4000 CAMBRIDGE STREET STE G600
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8501
Practice Address - Country:US
Practice Address - Phone:913-588-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010017987207RC0000X, 207RC0000X
KS04-30507207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO207447806Medicaid
35674013OtherBLUE CROSS
MO1205840360Medicaid
KS200331620CMedicaid
KS200331620AMedicaid
KS200331620DMedicaid
35674013OtherBLUE CROSS
KS200331620DMedicaid
KS200331620CMedicaid
KS038B00014Medicare PIN
KS110330018Medicare PIN
MO011D973AMedicare ID - Type Unspecified