Glen W. Simons, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

36709 Issued in KY

Practice address

3080 Harrodsburg Rd Ste 200
Lexington, KY 40503-2787

Phone

(859) 455-8346

Fax

(859) 455-8866

NPI assigned

Jul 5, 2005

Last updated

Jun 6, 2019By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Utah School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kentuckyveincare.glensimons@121412.advancedmd-direct.com

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.

• Glen W. Simons, M.D., P.S.C.

  dba Kentucky Vein Care

  • Surgery Physician
  • Lexington, KY
  • NPI 1003033705
  Medicare reassignment NPD Authorized official
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment NPD
• Chiro One Wellness Center of Hamburg PLLC

  dba Revive Chiropractic Centers

  • Chiropractor
  • Lexington, KY
  • NPI 1386891901
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1386641470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 HARRODSBURG RD STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032787",
            "telephone_number": "859-455-8346",
            "fax_number": "859-455-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 HARRODSBURG RD STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032787",
            "telephone_number": "859-455-8346",
            "fax_number": "859-455-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "GLEN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "36709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64039829",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise Kelly Simms, P.A.
• Lynne O Simms, M.D.
• Joel William Simon, M.D.
• Robert Edward Simon, MD
• Aly M Simons, BS
• Sipera Simons, L.P.C.A
• Adalyn Simonson, RBT
• Brent Simpkins, PHARM.D.
• Rachel Clark Simpkins, PHARMD
• Simple Solutions LLC

• Surgery Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.