David H Simon, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RNA267 Issued in ID

Practice address

1425 W River St
Boise, ID 83702-6861

Phone

(208) 342-2087

Fax

(208) 336-1954

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Orthopedic Ambulatory Anesthesia PA

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1114119955
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720193410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 S KIMBALL AVE",
            "address_2": "SUITE 205",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054548",
            "telephone_number": "208-455-1400",
            "fax_number": "208-455-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026861",
            "telephone_number": "208-342-2087",
            "fax_number": "208-336-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010136818",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "A2286",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynne Simmons, PT, DPT, MTC, CSCS
• Eric A Simmons, DO
• Jessica Simmons
• Kurtis J Simmons, NMD
• Michael C Simms, D.D.S.
• Mary Margaret Simon, MSW
• Amber L Simonson, O.D.
• Lisa Simonson, LPC
• Simply Chiropractic, LLC
• Carolyn D Simpson, RD

• Certified Registered Nurse Anesthetist in Boise, ID
• Providers in Boise, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.