Organization Active NPI

David R Simon MD PHD PA

  • Ophthalmology Physician
  • Plantation, FL
National Provider Identifier
1154585016
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0024567 Issued in FL
Legal business name
DAVID R SIMON MD PHD PA
Practice address
201 N University Dr
Suite 106
Plantation, FL 33324-2039
Phone
(954) 472-2007
Fax
(954) 472-2114
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. David R Simon, MD PHD
Title
Medical Doctor
Phone
(954) 472-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME0024567 FL Primary

Addresses

Primary practice location

201 N University Dr
Suite 106
Plantation, FL 33324-2039

Mailing address

201 N University Dr
Suite 106
Plantation, FL 33324-2039
Phone (954) 472-2007

Other identifiers 2

IdentifierTypeStateIssuer
406183465OtherFLRAILROAD MEDICARE
AK982OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1154585016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY DR",
            "address_2": "SUITE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242039",
            "telephone_number": "954-472-2007",
            "fax_number": "954-472-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY DR",
            "address_2": "SUITE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242039",
            "telephone_number": "954-472-2007",
            "fax_number": "954-472-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R SIMON MD PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-472-2007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0024567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406183465",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AK982",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.