Active NPI
Robin Gayle Simon-Mark, D.O.
- Orthopaedic Surgery Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OS7659
- Practice address
- 2607 Polk St
Hollywood, FL 33020 - Phone
- (954) 925-7333
- Fax
- (954) 925-7339
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OS7659 | FL | Primary |
Addresses
Primary practice location
2607 Polk St
Hollywood, FL 33020
Mailing address
2607 Polk St
Hollywood, FL 33020-4822
Phone (954) 925-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256295200 | Medicaid | FL |
Other names 1
- Dr. Robin G. Simon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Phone (954) 735-6000
581 Leroy George Dr
Suite 300
Clyde, NC 28721-8085
Phone (828) 452-4131
Hospital & facility affiliations
- Haywood Regional Medical Center
- Memorial Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS7659 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broward Medical & Rehab Inc | Orthopaedic Surgery | Current | Accepting new patients |
| DLP Western Carolina Physician Practices LLC | Current | Accepting new patients | |
| DLP Western Carolina Physician Practices LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Ortho Florida, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Texas Regional Medical Center, LLC | Past | Accepting new patients |
Locations
2607 Polk St
Hollywood, FL 33020
Phone (954) 925-4001
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
4101 NW 4th St
Ste 305
Plantation, FL 33317
Phone (954) 370-7040
1776 N Pine Island Rd
Ste 216
Plantation, FL 33322
Phone (954) 583-8130
581 Leroy George Dr
Ste 300
Clyde, NC 28721
Phone (828) 452-4131
98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Sylva, NC
- NPI 1609281641
Orthopaedic Surgery
-
- Diagnostic Radiology Physician
- Clyde, NC
- NPI 1932925062
-
- General Acute Care Hospital
- Sunnyvale, TX
- NPI 1255579389
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
-
- General Acute Care Hospital
- Clyde, NC
- NPI 1811158215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1053359919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 POLK ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204822",
"telephone_number": "954-925-7333",
"fax_number": "954-925-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 POLK ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33020",
"telephone_number": "954-925-7333",
"fax_number": "954-925-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON-MARK",
"first_name": "ROBIN",
"middle_name": "GAYLE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "OS7659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256295200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "SIMON",
"middle_name": "G.",
"prefix": "DR.",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.