Rebecca Lynn Simon, M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-5961 Issued in AR

Legal business name

REBECCA LYNN SIMON, M.D., P.A.

Practice address

3864 Highway 392 W
Harrison, AR 72601-9683

Phone

(870) 204-5645

Fax

(855) 701-1410

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Conrad Simon

Title

Office Manager

Phone

(870) 204-5645

Specialties & licenses 1

Addresses

Other names 1

• Simon Direct Primary Care Doing business as

Locations

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1730459454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3864 HIGHWAY 392 W",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726019683",
            "telephone_number": "870-204-5645",
            "fax_number": "855-701-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 HIGHWAY 392 W",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726019683",
            "telephone_number": "870-204-5645",
            "fax_number": "855-701-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA LYNN SIMON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-204-5645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simon Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Harrison, AR
• Providers in Harrison, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.