Organization Active NPI

Helge Ulrich Simon M.D

  • Cardiovascular Disease Physician
  • Willoughby, OH
National Provider Identifier
1508028135
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35079840 Issued in OH
Legal business name
HELGE ULRICH SIMON M.D
Practice address
36060 Euclid Ave
107
Willoughby, OH 44094-4656
Phone
(440) 269-8346
Fax
(440) 975-5763
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Helge Ulrich Simon, MDNPI 1639101371
Title
Owner
Phone
(440) 269-8346

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 35079840 OH Primary

Addresses

Primary practice location

36060 Euclid Ave
107
Willoughby, OH 44094-4656

Mailing address

36060 Euclid Ave
107
Willoughby, OH 44094-4656
Phone (440) 269-8346

Other identifiers 1

IdentifierTypeStateIssuer
2481425MedicaidOH

National Provider Directory

National Provider Directory

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": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1508028135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36060 EUCLID AVE",
            "address_2": "107",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944656",
            "telephone_number": "440-269-8346",
            "fax_number": "440-975-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36060 EUCLID AVE",
            "address_2": "107",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944656",
            "telephone_number": "440-269-8346",
            "fax_number": "440-975-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELGE ULRICH SIMON M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "HELGE",
        "authorized_official_middle_name": "ULRICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-269-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35079840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2481425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.