Active NPI
Heather Jo Simon, PA
- Physician Assistant
- Greenville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601005842
- Practice address
- 1014 E Washington St
Greenville, MI 48838-2463 - Phone
- (616) 754-7145
- NPI assigned
- Aug 30, 2010
- Last updated
- Aug 30, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601005842 | MI | Primary |
Addresses
Primary practice location
1014 E Washington St
Greenville, MI 48838-2463
Mailing address
1014 E Washington St
Greenville, MI 48838-2463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1014 E Washington St
Greenville, MI 48838-2463
Phone (616) 754-7145
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Past | Accepting new patients | |
| Sparrow Carson Hospital | Past | Accepting new patients | |
| Sparrow Carson Hospital | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145
1014 E Washington St
Ste B
Greenville, MI 48838
545 N State St
Stanton, MI 48888
Phone (989) 584-3131
Interoperability endpoints
- hsimon53350@sparrowdirecthie.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University of Michigan Health-Sparrow
- Internal Medicine Physician
- Carson City, MI
- NPI 1598490542
-
dba University of Michigan Health-Sparrow
- Cardiovascular Disease Physician
- Carson City, MI
- NPI 1063245694
-
dba University of Michigan Health-Sparrow
- Rural Health Clinic/Center
- Ithaca, MI
- NPI 1770553547
-
dba University of Michigan Health-Sparrow
- Rural Health Clinic/Center
- Carson City, MI
- NPI 1013987833
-
dba University of Michigan Health-Sparrow
- Rural Health Clinic/Center
- Greenville, MI
- NPI 1689644403
-
dba University of Michigan Health-Sparrow
- Obstetrics & Gynecology Physician
- Carson City, MI
- NPI 1902153083
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health-Sparrow
- General Acute Care Hospital
- Carson City, MI
- NPI 1336103043
-
dba Corewell Health Greenville Hospital
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1235445164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 E WASHINGTON ST",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488382463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 E WASHINGTON ST",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488382463",
"telephone_number": "616-754-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "HEATHER",
"middle_name": "JO",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601005842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.