Individual provider Active NPI

Maren B Simons, PA-C

  • Physician Assistant
  • Columbia, MD
National Provider Identifier
1609955806
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C03407 Issued in MD
Practice address
10710 Charter Dr Ste 300
Columbia, MD 21044-3260
Phone
(410) 644-1880
Fax
(410) 730-1617
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C03407 MD Primary

Addresses

Primary practice location

10710 Charter Dr Ste 300
Columbia, MD 21044-3260

Mailing address

2701 Friendship Farm CT
West Friendship, MD 21794-9310
Phone (015) 243-8283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000427 MD Practitioner - Physician Assistant 1052411121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C03407MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Medical Group, PA CurrentSince Oct 7, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 21, 2019 Accepting new patients
Centennial Medical Group, PA CurrentSince Oct 7, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 21, 2019 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

910 Frederick Rd
Catonsville, MD 21228

5005 Signal Bell Ln
Ste 200
Clarksville, MD 21029
Phone 4107303399100

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111

10981 Johns Hopkins Rd
Ste 201
Laurel, MD 20723

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

Interoperability endpoints

  • Direct secure messaging: 17msimons@cfaortho.emadirect.md

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1609955806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 FRIENDSHIP FARM CT",
            "city": "WEST FRIENDSHIP",
            "state": "MD",
            "postal_code": "217949310",
            "telephone_number": "015-243-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443260",
            "telephone_number": "410-644-1880",
            "fax_number": "410-730-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "MAREN",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.