Organization Active NPI

Simon Medical Services PC

  • General Practice Physician
  • Kalamazoo, MI
National Provider Identifier
1265716377
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SIMON MEDICAL SERVICES PC
Practice address
5555 Gull Rd
Suite 209
Kalamazoo, MI 49048-7640
Phone
(269) 589-5229
NPI assigned
Oct 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Robert R Simon, M.D.
Title
President
Phone
(312) 656-7876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5555 Gull Rd
Suite 209
Kalamazoo, MI 49048-7640

Mailing address

10864 M 43
Richland, MI 49083-9551
Phone (312) 656-7876

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1265716377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10864 M 43",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490839551",
            "telephone_number": "312-656-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GULL RD",
            "address_2": "SUITE 209",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490487640",
            "telephone_number": "269-589-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-656-7876",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.