Active NPI
David Alan Simonowitz, MD
- Surgery Physician
- Redmond, WA
National Provider Identifier
1659640191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD 00013447
- Practice address
- 22621 NE 114TH St
Redmond, WA 98053-5603 - Phone
- (425) 890-4653
- NPI assigned
- Dec 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD 00013447 | WA | Primary |
Addresses
Primary practice location
22621 NE 114TH St
Redmond, WA 98053-5603
Mailing address
22621 NE 114TH St
Redmond, WA 98053-5603
Phone (425) 890-4653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 00013447 | WA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1659640191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22621 NE 114TH ST",
"city": "REDMOND",
"state": "WA",
"postal_code": "980535603",
"telephone_number": "425-890-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22621 NE 114TH ST",
"city": "REDMOND",
"state": "WA",
"postal_code": "980535603",
"telephone_number": "425-890-4653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONOWITZ",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-28",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD 00013447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.