Organization Active NPI

Lee T Simon MD Inc

  • Orthopaedic Surgery Physician
  • Salem, OH
National Provider Identifier
1447553185
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
043640 Issued in OH
Legal business name
LEE T SIMON MD INC
Practice address
2222 Oak St
Salem, OH 44460-2520
Phone
(330) 337-8739
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Lee Simon
Title
President
Phone
(330) 337-8739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 043640 OH Primary

Addresses

Primary practice location

2222 Oak St
Salem, OH 44460-2520

Mailing address

2222 Oak St
Salem, OH 44460-2520

Other identifiers 1

IdentifierTypeStateIssuer
0515008MedicaidOH

National Provider Directory

National Provider Directory

Locations

2222 Oak St
Salem, OH 44460
Phone (330) 337-8739

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1447553185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 OAK ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 OAK ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602520",
            "telephone_number": "330-337-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE T SIMON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-337-8739"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "043640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.