Douglas Paul Simon, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01575 Issued in KS

Practice address

106 Willow Rd
Goodland, KS 67735-1518

Phone

(785) 890-6075

Fax

(785) 890-6077

NPI assigned

Oct 26, 2012

Last updated

Oct 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, IA2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglassimon@amc.cernerdirect.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/c63e0ebe-63f4-43e1-a630-b2adca03ff23/

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

• Ashland District Hospital

  dba Ashland Health Center-Clinic

  • Clinic/Center
  • Ashland, KS
  • NPI 1073686002
  Medicare reassignment NPD
• Ashland District Hospital

  • Critical Access Hospital
  • Ashland, KS
  • NPI 1265529614
  Medicare reassignment NPD
• Hospital District No 6 of Harper County Kansas

  dba Patterson Health Center

  • Critical Access Hospital
  • Anthony, KS
  • NPI 1467427674
  Medicare reassignment NPD
• Pawnee Valley Community Hospital Inc

  dba Pawnee Valley Community Hospital Family Medicine

  • General Practice Physician
  • Larned, KS
  • NPI 1912310822
  Medicare reassignment NPD
• Pawnee Valley Community Hospital, Inc.

  • Specialist
  • Larned, KS
  • NPI 1467569442
  Medicare reassignment NPD
• Hegg Memorial Hospital

  dba Hegg Medical Clinic

  • Family Medicine Physician
  • Rock Valley, IA
  • NPI 1629023429
  Medicare reassignment NPD
• Pratt Regional Medical Center Corporation

  dba Surgicenter

  • Surgery Physician
  • Pratt, KS
  • NPI 1053346163
  NPD
• Pratt Regional Medical Center Corporation

  dba Pratt Regional Medical Center

  • Rural Acute Care Hospital
  • Pratt, KS
  • NPI 1578596904
  NPD
• Pratt Regional Medical Center Corporation

  dba PRMC Infusion and Wound Care Clinic

  • Infusion Therapy Clinic/Center
  • Pratt, KS
  • NPI 1689246753
  NPD
• Trinity Medical Associates

  • Family Medicine Physician
  • Larned, KS
  • NPI 1073784138
  NPD
• Hegg Memorial Hospital

  dba Hegg Rehab

  • Rehabilitation Hospital Unit
  • Rock Valley, IA
  • NPI 1245329960
  NPD
• Hospital District No 6 of Harper County Kansas

  dba Conway Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Conway Springs, KS
  • NPI 1013436260
  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1023361128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WILLOW RD",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351518",
            "telephone_number": "785-890-6075",
            "fax_number": "785-890-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WILLOW RD",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351518",
            "telephone_number": "785-890-6075",
            "fax_number": "785-890-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Schmidt, DDS
• Amy Rose Schulte, CCC-SLP
• Brittany Sexson, PTA
• Mohedine Shafei, M.D.
• Sherman County (Northwest Kansas Ambulance Service)
• Paula Jean Sisler, R.PH.
• Sondra Krayca, a.R.N.P., LLC
• Autumn Jade Spellmeier, APRN
• Jonathan Spellmeier, PA-C
• Pamela J. Steinle, M.D.

• Physician Assistant in Goodland, KS
• Providers in Goodland, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.