Frederick S. Simonie M.D. P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

12188 Issued in AZ

Legal business name

FREDERICK S. SIMONIE M.D. P.C.

Practice address

10210 N 92ND St Ste 205
Scottsdale, AZ 85258-4524

Phone

(480) 314-1189

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Frederick S. Simonie, M.D.NPI 1932165958

Title

Physician

Phone

(480) 314-1189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederick S Simonie, M.D.

  • Specialist
  • Scottsdale, AZ
  • NPI 1932165958
  Medicare reassignment NPD Authorized official
• Nedra J Harrison, MD FACS

  • Surgery Physician
  • Scottsdale, AZ
  • NPI 1194801605
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1740498633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584524",
            "telephone_number": "480-314-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584524",
            "telephone_number": "480-314-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK S. SIMONIE M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "SIMONIE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-314-1189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "12188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Mitchell Frazier
• Pamela Tavernelli Frazier, M.D.
• Rosita De Jesus Frazier, M.D.
• Sydni N Frazier, BS, RBT
• Frederick G. Dettmann, M.D.
• Ditina Jade Frederick, LMT, CHT, RM
• Douglas Freedberg, MD
• Bruce E Freedman, MD
• Freedom Anesthesia Partners LLC
• Freedom Behavioral LLC

• Specialist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.