Glen W. Simons, M.D., P.S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

36709 Issued in KY

Legal business name

GLEN W. SIMONS, M.D., P.S.C.

Practice address

3080 Harrodsburg Road
Suite 200
Lexington, KY 40503-2787

Phone

(859) 455-8346

Fax

(859) 455-8866

NPI assigned

Apr 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glen W Simons, M.D.NPI 1386641470

Title

Physician/Owner

Phone

(859) 455-8346

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kentucky Vein Care Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glen W. Simons, M.D.

  • Surgery Physician
  • Lexington, KY
  • NPI 1386641470
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1003033705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 HARRODSBURG ROAD",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032787",
            "telephone_number": "859-455-8346",
            "fax_number": "859-455-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 HARRODSBURG ROAD",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032787",
            "telephone_number": "859-455-8346",
            "fax_number": "859-455-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN W. SIMONS, M.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "859-455-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "36709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65935538",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64039829",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky Vein Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracey Givens
• Autumn Danyelle Glass
• Sarah Stephanie Glass
• Gleanings Housing Inc
• Michael Gleason, DO
• Glencairn Marriage & Family Therapy Center, Inc.
• Glenn Optical, PLLC
• Kamala Glenn-Taylor, LMFT
• Jason Glenn, O.D.
• Michael Glindmeyer, PT, DPT, ATC

• Surgery Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.