Organization Active NPI

Steven a Simon, MD

Doing business as South Dade Pathology

  • Clinical Medical Laboratory
  • Miami, FL
National Provider Identifier
1679762645
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
STEVEN A SIMON, MD
Doing business as
South Dade Pathology
Practice address
8720 N Kendall Dr
Suite 116
Miami, FL 33176-2299
Phone
(305) 662-2554
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Steven A Simon, MD
Title
Sole Proprietor
Phone
(305) 662-2554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8720 N Kendall Dr
Suite 116
Miami, FL 33176-2299

Mailing address

PO Box 63069
Charleston, SC 29419-3069
Phone (866) 759-4528

Other identifiers 2

IdentifierTypeStateIssuer
260136201MedicaidFL
L8446OtherFLBCBS

Other names 1

  • South Dade Pathology Doing business as

National Provider Directory

National Provider Directory

Locations

8720 SW 88th St
Ste 116
Miami, FL 33176
Phone (305) 598-4499

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1679762645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63069",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294193069",
            "telephone_number": "866-759-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 N KENDALL DR",
            "address_2": "SUITE 116",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762299",
            "telephone_number": "305-662-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A SIMON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "305-662-2554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260136201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "L8446",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Dade Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.