Individual provider Active NPI

Zoe Ann Simonton, PA

  • Surgical Physician Assistant
  • Boston, MA
National Provider Identifier
1023203189
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2406 Issued in MA
Practice address
720 Harrison Ave
Dob-503
Boston, MA 02118-2371
Phone
(617) 414-5405
Fax
(617) 414-6031
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 100601T MA
Surgical Physician Assistant 363AS0400X PA2406 MA Primary

Addresses

Primary practice location

720 Harrison Ave
Dob-503
Boston, MA 02118-2371

Mailing address

830 Harrison Ave
Suite 2100
Boston, MA 02118-2905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT, ME, NH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080131000571 MA Practitioner - Physician Assistant 4981786720 Reassigns benefits to 4 organizations
I20210415001324 VT Practitioner - Physician Assistant 4981786720 Reassigns benefits to 1 organization
I20210510000654 ME Practitioner - Physician Assistant 4981786720 Reassigns benefits to 1 organization
I20240502000894 NH Practitioner - Physician Assistant 4981786720 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2131NHMDMental Health Counselor
2406MAMDOptometrist
100601TMAMDMedical Physician Assistant
PA2406MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Emergency Physicians, PC CurrentSince Mar 13, 2024 Accepting new patients
Springfield Hospital .Inc CurrentSince May 1, 2021 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Medical Associates of Ebnhc Current Accepting new patients
Nantucket Cottage Hospital CurrentSince Jun 20, 2020 Accepting new patients
Springfield Hospital Current Accepting new patients
Quincy Medical Center, a Steward Family Hospital Inc Past Accepting new patients
Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care Past Accepting new patients

Locations

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • Direct secure messaging: simonton.zoe.wdh@direct.partners.masshiway.net
  • Direct secure messaging: zsimonton8314@direct.neighborhealth.masshiway.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1023203189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 HARRISON AVE",
            "address_2": "SUITE 2100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE",
            "address_2": "DOB-503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182371",
            "telephone_number": "617-414-5405",
            "fax_number": "617-414-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONTON",
        "first_name": "ZOE",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "100601T",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA2406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.