Mark Terrance Simon

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-002783-S Issued in OH

Practice address

2300 Wales Ave NW
Massillon, OH 44646-2323

Phone

(330) 832-3188

Fax

(330) 832-9936

NPI assigned

Sep 20, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advantage Home Health Services, Inc Home health agency, North Canton, OH, CCN 368248
• Aultman Health Care in Your Home Home health agency, Canton, OH, CCN 367290
• Crossroads Hospice of Northeast Ohio, LLC Hospice, Uniontown, OH, CCN 361625
• Aultman Hospital Hospital, Canton, OH, CCN 360084
• Mercy Medical Center Hospital, Canton, OH, CCN 360070
• Union Hospital Hospital, Dover, OH, CCN 360010
• Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA
• Direct secure messaging: terrance.simon@ppn.eclinicaldirectplus.com

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.

• Pioneer Physicians Network, Inc.

  • Family Medicine Physician
  • Uniontown, OH
  • NPI 1851354633
  Medicare reassignment Care Compare group NPD
• Pioneer Physicians Network Inc

  • Family Medicine Physician
  • Canton, OH
  • NPI 1174296172
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advantage Home Health Services, Inc

  • Home Health Agency
  • North Canton, OH
  • NPI 1710141163
  Care Compare affiliation
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Aultman Hospital

  • Home Health Agency
  • Canton, OH
  • NPI 1669568564
  Care Compare affiliation
• Cleveland Clinic Mercy Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation
• Crossroads Hospice of Northeast

  • Community Based Hospice Care Agency
  • Uniontown, OH
  • NPI 1205876653
  Care Compare affiliation
• Orrville Hospital Foundation

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Care Compare affiliation
• The Union Hospital Association

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1053307694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WALES AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462323",
            "telephone_number": "330-832-3188",
            "fax_number": "330-832-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WALES AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462323",
            "telephone_number": "330-832-3188",
            "fax_number": "330-832-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MARK",
        "middle_name": "TERRANCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-002783-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0395255",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassidy Shumick
• Madalyn Renee Sibble, STNA
• Brianna Silvers, OTR/L
• Charlotte Simmons
• Xiomara Simmons, MD
• Joseph Michael Simone, LPN
• Michael L Simonson, M.D.
• Shirley L Simpson, LPN
• Tiffany Star Skillern, MACCCSLP
• Evangelia E Sklavenitis, R.PH.

• Family Medicine Physician in Massillon, OH
• Providers in Massillon, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.