Active NPI
Steven a Simon, MD
Doing business as South Dade Pathology
- Clinical Medical Laboratory
- Miami, FL
National Provider Identifier
1679762645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260136201 | Medicaid | FL | |
| L8446 | Other | FL | BCBS |
Other names 1
- South Dade Pathology
National Provider Directory
National Provider DirectoryLocations
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.