Active NPI
Carl I Simons, M.D.
- Specialist
- Bristol, PA
National Provider Identifier
1255378394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD027447L
- Practice address
- 501 Bath Rd
Bristol, PA 19007-3101 - Phone
- (215) 785-9200
- Fax
- (215) 785-9039
- NPI assigned
- May 31, 2006
- Last updated
- Jan 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD027447L | PA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | MD027447L | PA |
Addresses
Primary practice location
501 Bath Rd
Bristol, PA 19007-3101
Mailing address
501 Bath Rd
Bristol, PA 19007-3101
Phone (215) 785-9200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HIGHMARK BLUE SHIELD | Other | PA | 15410 |
| IBC | Other | PW | 0021789000 |
| 101040658 0001 | Medicaid | PA | |
| 30017309 | Other | PA | KEYSTONE MERCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD027447L | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berman Orthopedics Institute | Specialist | Past | Accepting new patients |
| Advanced Specialty Physicians Group | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Bristol, PA
- NPI 1891960134
-
- Specialist
- Philadelphia, PA
- NPI 1558555789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1255378394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 BATH RD",
"city": "BRISTOL",
"state": "PA",
"postal_code": "190073101",
"telephone_number": "215-785-9200",
"fax_number": "215-785-9039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 BATH RD",
"city": "BRISTOL",
"state": "PA",
"postal_code": "190073101",
"telephone_number": "215-785-9200",
"fax_number": "215-785-9039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "CARL",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD027447L",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD027447L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "15410",
"identifier": "HIGHMARK BLUE SHIELD",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0021789000",
"identifier": "IBC",
"state": "PW"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101040658 0001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30017309",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
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- Aubrey Jean D'Onofrio Snyder
- Ryan Christopher Snyder, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.