Scott Gary Simon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4495-012 Issued in WI

Practice address

1900 W Ryan Rd
Oak Creek, WI 53154-8233

Phone

(414) 761-5777

Fax

(414) 761-7915

NPI assigned

Apr 16, 2009

Last updated

Aug 28, 2024By 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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Creek Relief and Wellness SCGroup PAC ID 8426014820, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Oak Creek Relief and Wellness SC

  • Chiropractor
  • Oak Creek, WI
  • NPI 1205979937
  Medicare reassignment Care Compare group
• Catalyst Wellness LLC

  • Chiropractor
  • Big Bend, WI
  • NPI 1669881058
  NPD

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1598908741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W RYAN RD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548233",
            "telephone_number": "414-761-5777",
            "fax_number": "414-761-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W RYAN RD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548233",
            "telephone_number": "414-761-5777",
            "fax_number": "414-761-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "SCOTT",
        "middle_name": "GARY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4495-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salim M Shammo, M.D.
• Ashley Sharpe, LPC-IT
• John Victor Shea, DDS
• Morgan Elizabeth Sheehan, OTR
• Bhola Singh Sidharh
• Natalie Simonian
• Christina L Simons
• Bira Singh
• Cesar Sison
• Madison Sitas

• Chiropractor in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.