Gregory Richard Simon, CST

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

108799 Issued in TN

Practice address

3087 Professional PLZ
Germantown, TN 38138-7912

Phone

(901) 730-0681

NPI assigned

Feb 5, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1780923284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 HIGHWAY 311",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386357028",
            "telephone_number": "901-299-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3087 PROFESSIONAL PLZ",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387912",
            "telephone_number": "901-730-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "GREGORY",
        "middle_name": "RICHARD",
        "credential": "CST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TN",
            "license": "108799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R. Shurley III, M.D.
• Susan Sigman, M.S. CCC-SLP
• Marc S. Silberberg, M.D.
• Francisco Javier Silva, PHYSICAL THERAPIST
• Tanner Cole Simmons, DPT
• Emily Simpson
• Mary K Simpson, NP
• Matthew Earl Sims, M.D.
• Harsimran Singh
• Mark A Skidmore, DDS

• Surgical Technologist in Germantown, TN
• Providers in Germantown, TN by specialty
• Surgical Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.