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Deactivated NPI 1710268149 Deactivated / Inactive NPI Male Practitioner

Keith Simonis , RN

Physician Assistant - Surgical • Chesapeake, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Keith Simonis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2011
NPI Deactivation Date January 02, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Keith Simonis, RN was a registered Physician Assistant - Surgical practicing in Chesapeake, VA. Throughout an active medical career spanning 14 years, Keith Simonis provided care at the practice location at 800 BATTLEFIELD BLVD N until profile deactivation on 2025-01-02.

Practice Location & Contact Primary Location

Practice Address

800 Battlefield Blvd N

Chesapeake, VA 233204802

Telephone 8138541664
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Chesapeake, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Chesapeake, VA (284 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License VA 0001071930

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Sasha Alexander

Technician, Other

NPI 1174644173
Molly Hawkins , CSA

Physician Assistant - Surgical

NPI 1346525276
Jacqueline Mcintyre , CSA

Physician Assistant - Surgical

NPI 1932425451

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 02, 2025

Record deactivated on January 02, 2025

NPI Profile Active August 30, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 30, 2011

Registered at 800 BATTLEFIELD BLVD N, CHESAPEAKE, VA 233204802 (Tel: 8138541664)

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Updated Business Mailing Address August 30, 2011

Registered at PO BOX 15664, CHESAPEAKE, VA 233285664 (Tel: 8138541664)

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Provider Name / Credentials Updated August 30, 2011

Recorded as KEITH SIMONIS, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2011

Physician Assistant (License #0001071930 in VA)

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Initial NPI Registration & Enumeration August 30, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710268149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2011
Last Update: August 30, 2011
Deactivation Date: January 02, 2025

Mailing Address

Po Box 15664

Chesapeake, VA 233285664

Phone: 8138541664

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.