Organization Active NPI

Frank G Simon, PSC

  • Allergy & Immunology (Internal Medicine) Physician
  • Louisville, KY
National Provider Identifier
1730216201
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
14589 Issued in KY
Legal business name
FRANK G SIMON, PSC
Practice address
1404 Browns LN Ste B
Louisville, KY 40207-4655
Phone
(502) 895-5088
Fax
(502) 897-2426
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Mrs. Margie Kendall
Title
Office Manager
Phone
(502) 895-5088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X 14589 KY Primary

Addresses

Primary practice location

1404 Browns LN Ste B
Louisville, KY 40207-4655

Mailing address

1404 Browns LN Ste B
Louisville, KY 40207-4655
Phone (502) 895-5088

Other identifiers 2

IdentifierTypeStateIssuer
032587001OtherKYRAILROAD MEDICARE
64145899MedicaidKY

National Provider Directory

National Provider Directory

Locations

11900 Plantside Dr
#9
Louisville, KY 40299
Phone (502) 267-0556

11900 Plantside Dr
Louisville, KY 40299

1404 Browns Ln
Ste B
Louisville, KY 40207
Phone (502) 895-5088

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1730216201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 BROWNS LN STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074655",
            "telephone_number": "502-895-5088",
            "fax_number": "502-897-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 BROWNS LN STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074655",
            "telephone_number": "502-895-5088",
            "fax_number": "502-897-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK G SIMON, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-895-5088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "KY",
            "license": "14589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "032587001",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64145899",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.