Jerrold J. Simon, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

1066 Issued in OH

Practice address

616 N Columbus St
Lancaster, OH 43130-2535

Phone

(740) 653-2973

Fax

(740) 653-3249

NPI assigned

May 6, 2006

Last updated

Aug 11, 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Lancaster Chiropractic Clinic, Inc.

  • Chiropractor
  • Lancaster, OH
  • NPI 1235325267

  Nutrition

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1548219892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N COLUMBUS ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302535",
            "telephone_number": "740-653-2973",
            "fax_number": "740-653-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N COLUMBUS ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302535",
            "telephone_number": "740-653-2973",
            "fax_number": "740-653-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JERROLD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "1066",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "OH",
            "license": "1066",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0582758",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice L Siefert
• Richard B. Sielski, M.D,
• Christina Siemer-Harley, APRN
• Jarred L Sigmon, PHARMD
• George Simmons
• Stephanie Simons, CDCA
• Justine Simpson, ED.D, LPCC-S
• Kevin Simpson
• Emily Sims
• Melissa Marie Sims

• Rehabilitation Chiropractor in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Rehabilitation Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.