Active NPI
Elizabeth Tribelhorn Simon, M.D.
- Surgery Physician
- Tucson, AZ
National Provider Identifier
1669859872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 60218
- Practice address
- 5240 E Knight Dr Ste 116
Tucson, AZ 85712-2122 - Phone
- (520) 320-5665
- NPI assigned
- Apr 27, 2015
- Sex
- Female
- 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 | 60218 | AZ | Primary |
Addresses
Primary practice location
5240 E Knight Dr Ste 116
Tucson, AZ 85712-2122
Mailing address
5240 E Knight Dr Ste 116
Tucson, AZ 85712-2122
Phone (520) 320-5665
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Univeristy of Arizona | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1952740151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1669859872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR STE 116",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "520-320-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR STE 116",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "520-320-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIBELHORN SIMON",
"first_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-27",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AZ",
"license": "60218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.