Peter J Simon, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME0051739 Issued in FL

Practice address

3201 N Federal Hwy
Suite 302
Ft Lauderdale, FL 33306

Phone

(954) 568-1010

Fax

(954) 568-0566

NPI assigned

Aug 1, 2006

Last updated

Dec 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Peter J. Simon Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

University of Miami, LM Miller School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter J Simon MD PA

  dba Peter J. Simon MD

  • Plastic Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1467467027
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1518974823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 N FEDERAL HWY",
            "address_2": "SUITE 302",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-568-1010",
            "fax_number": "954-568-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N FEDERAL HWY",
            "address_2": "SUITE 302",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-568-1010",
            "fax_number": "954-568-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME0051739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "SIMON",
            "middle_name": "J.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daniel Simms, DO
• David Simon, D.D.S
• Jennifer Simon
• Keianna Simon, LMHC
• Naomi Simon
• Skylar Simon, PT,DPT
• Danielle Simons, RD
• Susan O Simonton, P.A.-C.
• Simplymade Medicine LLC (SimplyMade Medicine)
• Amanda Simpson, M.S.

• Plastic Surgery Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.