Larry Simon, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

35032610 Issued in OH

Practice address

750 Mount Carmel Mall
Suite 330
Columbus, OH 43222-1553

Phone

(614) 434-2400

Fax

(614) 434-2499

NPI assigned

Jul 21, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1336148246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221576",
            "telephone_number": "614-434-2400",
            "fax_number": "614-434-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-434-2400",
            "fax_number": "614-434-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "LARRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35032610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207574",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Simon, PA-C
• Joan Simon, PHD
• Kadia Leah Simon, OTD, OTR/L
• Kimberly Simon
• Kimberly Simon, PHARMD
• Laura T Simon, PH.D.
• Michel L Simon, PHARM.D.
• Sharon Ann Simon, MSW, LISW
• Brent Simonds, LISW
• Dexter Simonds, PRS

• Gynecology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.