Theresa Simon MD, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-086077 Issued in WV

Legal business name

THERESA SIMON MD, PLLC

Practice address

2924 Jackson Ave
PT Pleasant, WV 25550-1716

Phone

(304) 675-4912

Fax

(304) 675-4311

NPI assigned

Aug 31, 2009

Organization subpart

No

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

Authorized official

Name

Theresa Simon, MD

Title

Physician

Phone

(304) 675-4912

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1699908160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 JACKSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501716",
            "telephone_number": "304-675-4912",
            "fax_number": "304-675-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 JACKSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501716",
            "telephone_number": "304-675-4912",
            "fax_number": "304-675-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA SIMON MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-675-4912",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "35-086077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James E Riffle, RN
• Robert M Holley MD, Inc
• Jodi Beth Saunders
• Stephanus Johannes Serfontein, MD
• Brittany Rae Snodgrass, PHARMD
• Kristen L Thompson, CPNP-PC
• Pamela L Vaughan, SLP
• Tiffany Lynn Wood, FNP-C

• Internal Medicine Physician in PT Pleasant, WV
• Providers in PT Pleasant, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.