David Jeffrey Simon, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD018008E Issued in PA

Practice address

724 Pershing Street
Ellwood City Hospital
Ellwood City, PA 16117

Phone

(724) 752-6744

Fax

(610) 617-6280

NPI assigned

May 3, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Ellwood Emergency Physicians Inc

  • Emergency Medicine Physician
  • Ellwood City, PA
  • NPI 1699732032
  NPD (past) Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063470631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951806",
            "address_2": "ELLWOOD EMERGENCY PHYSICIANS INC",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930020",
            "telephone_number": "800-666-2455",
            "fax_number": "610-660-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 PERSHING STREET",
            "address_2": "ELLWOOD CITY HOSPITAL",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16117",
            "telephone_number": "724-752-6744",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "DAVID",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD018008E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi B Schanno, OTR/L
• Ria Anne Schlachter, M.S., CCC-SLP
• Beverly Schmidt Rodriguez, CRNP
• Taylor Lauren Sena, MS, RDN, LDN
• Leah Sheetz, DPT
• Mary Skalski, LPC, NCC RETIRED, MA
• Daniel Walter Slack
• Abigail Smiley, BSN, RN
• Lisa Ann Smiley, PERSONAL CARE TAKER
• Victoria Noel Smock, M.ED, BCBA, LBS

• Emergency Medicine Physician in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.