Active NPI
Craig Phillip Simon, PA-C
- Physician Assistant
- New Bern, NC
National Provider Identifier
1740315993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102237
- Practice address
- 2842 Neuse Blvd
New Bern, NC 28562-2839 - Phone
- (252) 514-4770
- Fax
- (252) 514-4773
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102237 | NC | Primary |
Addresses
Primary practice location
2842 Neuse Blvd
New Bern, NC 28562-2839
Mailing address
2842 Neuse Blvd
New Bern, NC 28562-2839
Phone (252) 514-4770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102237 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NC DHHS Child and Family Well-Being | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- New Bern, NC
- NPI 1801011234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740315993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2842 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622839",
"telephone_number": "252-514-4770",
"fax_number": "252-514-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2842 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622839",
"telephone_number": "252-514-4770",
"fax_number": "252-514-4773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "CRAIG",
"middle_name": "PHILLIP",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.