Andrew Robert Simonsen, D.O.

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

License

OS 11689 Issued in FL

Practice address

1033 Dr Martin Luther King Jr St N
Suite 108
St Petersburg, FL 33701-1547

Phone

(727) 456-3288

Fax

(727) 456-3289

NPI assigned

Oct 11, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Otolaryngology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Pediatric Associates, LLCGroup PAC ID 2567375561, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Florida Pediatric Associates LLC

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1053346718
  Medicare reassignment Care Compare group NPD
• Charles C Greene MD PHD PA

  • Otolaryngology Physician
  • Jacksonville, FL
  • NPI 1457600769
  Medicare reassignment NPD
• Charles C Greene MD PHD PA

  • Otolaryngology Physician
  • Jacksonville, FL
  • NPI 1609125913
  NPD
• Florida Pediatric Associates, LLC

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1447553805
  NPD

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1235327495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 DR MARTIN LUTHER KING JR ST N",
            "address_2": "SUITE 108",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011547",
            "telephone_number": "727-456-3288",
            "fax_number": "727-456-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 DR MARTIN LUTHER KING JR ST N",
            "address_2": "SUITE 108",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011547",
            "telephone_number": "727-456-3288",
            "fax_number": "727-456-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSEN",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": "OS 11689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "14LY7",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006311700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingrid Simon
• Leanne Burnett Simon, BCABA
• Adina Fleming Simonetti, AGPCNP-BC
• Simonmed Imaging Florida LLC
• Nancy Jane Simons, PH.D.
• Simply Flourish Therapy, PLLC
• Deborah Jane Simpson
• Hillary Simpson
• Rebecca Marie Simpson, PA-C
• Tesha Tan Simpson, APRN

• Pediatric Otolaryngology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.