Simon Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SIMON FAMILY MEDICINE, PLLC

Practice address

1995 Errecart Blvd
Suite 208
Elko, NV 89801-8346

Phone

(866) 403-8476

Fax

(866) 374-7518

NPI assigned

Aug 6, 2011

Organization subpart

No

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

Authorized official

Name

Ronald David Simon, D.O.NPI 1740266972

Title

Owner

Phone

(678) 939-9665

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Ronald David Simon, DO

  • Family Medicine Physician
  • Elko, NV
  • NPI 1740266972
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1312588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1457630568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 ERRECART BLVD",
            "address_2": "SUITE 208",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018346",
            "telephone_number": "866-403-8476",
            "fax_number": "866-374-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 ERRECART BLVD",
            "address_2": "SUITE 208",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018346",
            "telephone_number": "866-403-8476",
            "fax_number": "866-374-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-06",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-939-9665",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Dean Sherwood, DC
• Kenneth Joongwoo Shin, PHARMD
• Marlen Silva
• Silver State Anesthesia LTD
• Silver Tree Dental Care LLC
• Ronald David Simon, DO
• Juanita Skipworth
• Slothower Pediatrics, LLC
• Jonathan Dennis Slothower, DO
• Shainalee Smales

• Family Medicine Physician in Elko, NV
• Providers in Elko, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.