Jon E. Simon, M.D., LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

D53156 Issued in MD

Legal business name

JON E. SIMON, M.D., LLC

Practice address

54 Scott Adam Rd
Suite 104
Cockeysville, MD 21030-3216

Phone

(410) 666-0200

Fax

(410) 666-0210

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Jon E Simon, M.D.

Title

Owner/Physician

Phone

(410) 666-0200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1346346830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "SUITE 104",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303216",
            "telephone_number": "410-666-0200",
            "fax_number": "410-666-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "SUITE 104",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303216",
            "telephone_number": "410-666-0200",
            "fax_number": "410-666-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON E. SIMON, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "410-666-0200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D53156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jan Johnson-Roe, OT
• Donald Jeffrey Johnson, COTA/L
• Hannah Jones, LGPC
• Kimberly M Jones, RPH
• Michelle Jones, PTA
• Nichole Lea Jones, M.S., CCC-SLP
• Jannet W Kabaru, PTA

• Clinic/Center in Cockeysville, MD
• Providers in Cockeysville, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.