Michael R Simon, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

4301031929 Issued in MI

Practice address

4870 W Clark Rd
Suite 202
Ypsilanti, MI 48197-1104

Phone

(734) 434-5430

Fax

(734) 434-5762

NPI assigned

Aug 21, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740396951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CASS ST S",
            "address_2": "SUITE1B",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490172331",
            "telephone_number": "269-969-8920",
            "fax_number": "269-969-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 W CLARK RD",
            "address_2": "SUITE 202",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971104",
            "telephone_number": "734-434-5430",
            "fax_number": "734-434-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "4301031929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104241002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Silverstone, DO
• Julie Simensky, PHD
• Shailesh Simkhada, MD
• Anitrus Simmons
• Kewanna Simmons
• Sarah Simon
• John Simpson, MA, LLP
• Lauren Bijan Simpson
• Samuel Robert Simpson
• Megan Marie Sims-Fujita, MSW

• Allergy Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Allergy Physician in Michigan

• 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.

Verify at the official NPI Registry.