Geoffrey Simon MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

105165 Issued in NY

Legal business name

GEOFFREY SIMON MD

Practice address

1656 Champlin Ave
Suite 203
Utica, NY 13502-4830

Phone

(315) 738-0647

Fax

(315) 738-9719

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Geoffrey Simon, MD

Title

Owner

Phone

(315) 738-0647

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey Ross Simon, M.S.W.,L.C.S.W.

  • Clinical Social Worker
  • Utica, NY
  • NPI 1689859258
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437354594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "address_2": "SUITE 203",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-738-0647",
            "fax_number": "315-738-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "address_2": "SUITE 203",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-738-0647",
            "fax_number": "315-738-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY SIMON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-738-0647",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "105165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00590047",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satish Gedela, MD
• Genesee Anesthesia PLLC
• Genesee RX Inc
• Genesee Street Medical Health
• Genoa Healthcare LLC
• Alexandra Briana George
• Georges Akl MD PLLC
• Mary Beth Germann, RN
• Lisa A Getman
• Christine Renee Getti, TCM

• Surgery Physician in Utica, NY
• Providers in Utica, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.