Organization Active NPI

Harold E Simon, MD, LLC

  • Internal Medicine Physician
  • Irondale, AL
National Provider Identifier
1457585333
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HAROLD E SIMON, MD, LLC
Practice address
4941 Montevallo Rd
Ste 506
Irondale, AL 35210-2418
Phone
(205) 314-4119
Fax
(205) 314-4186
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Harold E Simon, MDNPI 1740392471
Title
Owner
Phone
(205) 314-4119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4941 Montevallo Rd
Ste 506
Irondale, AL 35210-2418

Mailing address

4941 Montevallo Rd
Ste 506
Irondale, AL 35210-2418
Phone (205) 314-4119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090720000215 AL Part B Supplier - Clinic/Group Practice 5597817791 Receives reassigned benefits from 1 practitioner
Practice locations: Moody, AL; Pell City, AL

National Provider Directory

National Provider Directory

Locations

4941 Montevallo Rd
Ste 506
Irondale, AL 35210
Phone (205) 314-4119

4941 Montevallo Rd
#506
Irondale, AL 35210
Phone (205) 314-4119

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1457585333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 MONTEVALLO RD",
            "address_2": "STE 506",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102418",
            "telephone_number": "205-314-4119",
            "fax_number": "205-314-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 MONTEVALLO RD",
            "address_2": "STE 506",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102418",
            "telephone_number": "205-314-4119",
            "fax_number": "205-314-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD E SIMON, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-314-4119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.