Active NPI
Parker L Simon, D.O., M.P.H.
- Neonatal-Perinatal Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 4227
- Practice address
- 1120 S Utica Ave
Suite 2123
Tulsa, OK 74104 - Phone
- (918) 579-5402
- Fax
- (918) 579-5404
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 4227 | OK | Primary |
Addresses
Primary practice location
1120 S Utica Ave
Suite 2123
Tulsa, OK 74104
Mailing address
1120 S Utica Ave Ste 2123
Tulsa, OK 74104-4012
Phone (918) 579-5402
Other practice location 1
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-6428
Other practice location 2
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-6428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4227 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| St John Medical Center Inc | Past | Accepting new patients | |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients | |
| Ahs Southcrest Hospital, LLC | Past | Accepting new patients | |
| Newborn Specialists of Tulsa, P.C. | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Locations
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
1120 S Utica Ave
Ste 2123
Tulsa, OK 74104
Phone (918) 579-5402
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.
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
dba HIllcrest Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
-
- Neonatal-Perinatal Medicine Physician
- Tulsa, OK
- NPI 1497793335
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1093855066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE STE 2123",
"city": "TULSA",
"state": "OK",
"postal_code": "741044012",
"telephone_number": "918-579-5402",
"fax_number": "918-579-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"address_2": "SUITE 2123",
"city": "TULSA",
"state": "OK",
"postal_code": "74104",
"telephone_number": "918-579-5402",
"fax_number": "918-579-5404"
}
],
"practiceLocations": [
{
"address_1": "100 Mercy Way",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "64804",
"country_code": "US",
"telephone_number": "417-556-6428",
"fax_number": "417-556-6429",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Mercy Way",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "64804",
"country_code": "US",
"telephone_number": "417-556-6428",
"fax_number": "417-556-6429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "PARKER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OK",
"license": "4227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.