Mindy Kay Simon, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1587 Issued in OK

Practice address

10001 S Western Ave
Ste 204
Oklahoma City, OK 73139-2997

Phone

(405) 680-5633

Fax

(405) 735-6435

NPI assigned

Feb 5, 2007

Last updated

Sep 11, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Community Hospital LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1730366832
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1669510152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S WESTERN AVE",
            "address_2": "STE 204",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392997",
            "telephone_number": "405-680-5633",
            "fax_number": "405-735-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S WESTERN AVE",
            "address_2": "STE 204",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392997",
            "telephone_number": "405-680-5633",
            "fax_number": "405-735-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MINDY",
        "middle_name": "KAY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1587",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "1587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Simon, DDS
• Eunice J Simon, APRN
• Jimmy Rowdy Simon
• Kristin E Simon
• Melissa D Simon
• Carlos Gustavo Simonini, LMFT
• Pedro Simonis Seabra Martins Ferrari
• James R Simonson, MD
• Natasha Nicole Simonson, PA-C
• Brionna Simpkins

• Surgical Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Surgical Physician Assistant in Oklahoma

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