Mark J Simon, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME41611 Issued in FL

Practice address

6716 NW 11 Place
Gainesville, FL 32605

Phone

(352) 331-9729

Fax

(352) 331-0136

NPI assigned

Oct 3, 2006

Last updated

Aug 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doctors Imaging Group LLC

  • Diagnostic Radiology Physician
  • Gainesville, FL
  • NPI 1134179989

  Neuroradiology

  NPD (past)
• Doctors Radiology Group of Gainesville LLC

  • Diagnostic Radiology Physician
  • Gainesville, FL
  • NPI 1194775783
  NPD (past)
• Medfund LLC

  dba Horizon Orlando One LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Orlando, FL
  • NPI 1437152121
  NPD (past)
• Radiology Associates PA of Fort Lauderdale

  • Diagnostic Radiology Physician
  • Tamarac, FL
  • NPI 1659323632
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1245324300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147026",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326147026",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 NW 11 PLACE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME41611",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME41611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "94360",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivian Simmons, PT
• W. Bradley Simmons, MD
• Raven Simms, RD
• Cole Marcus Simon
• Jason Simon
• Trudi A Simon, ARNP
• Matthew Joseph Simone, APRN
• Jeanette Kay Simoneau, RN1837502
• Chelsea Simpkins
• Simpson Counseling Services LLC

• Diagnostic Radiology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.