Sheldon D. Simon

Primary specialty

Sports Medicine PodiatristTaxonomy code 213ES0000X

Legal business name

SHELDON D. SIMON

Practice address

1700 Frederica St Ste 103
Owensboro, KY 42301-4833

Phone

(270) 683-4844

Fax

(270) 926-8366

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Carrie J Jones

Title

Office Manager

Phone

(270) 683-4844

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1568644151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 FREDERICA ST STE 103",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014833",
            "telephone_number": "270-683-4844",
            "fax_number": "270-926-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 FREDERICA ST STE 103",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014833",
            "telephone_number": "270-683-4844",
            "fax_number": "270-926-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON D. SIMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-683-4844",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45803004",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaw & Wiederhold PSC
• Kin W Shaw, DMD
• Shaw'S Prosthetics Plus, Inc
• Ashley Shearn
• Charlotte Sheeks
• Lauren K Shelton, APRN
• Felicia Ann Shephard, APRN, PMHNP-BC
• Charles Shepherd, PT
• William Daniel Shepherd, DMD
• Jessica Sheridan-Babare, DO

• Podiatrist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.