Esan Odell Simon, M.D., M.B.A.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101102764 Issued in VA

Practice address

15100 Rescue Way
Uscg Air Station Clearwater Medical Clinic
Clearwater, FL 33762-3502

Phone

(727) 535-1437

Fax

(727) 535-4190

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: General Practice

Education

Emory University School of Medicine, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Primary Care and Associates LLC

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1831492586

  DC, Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1841276433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 RESCUE WAY",
            "address_2": "USCG AIR STATION CLEARWATER MEDICAL CLINIC",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623502",
            "telephone_number": "727-535-1437",
            "fax_number": "727-535-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 RESCUE WAY",
            "address_2": "USCG AIR STATION CLEARWATER MEDICAL CLINIC",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623502",
            "telephone_number": "727-535-1437",
            "fax_number": "727-535-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ESAN",
        "middle_name": "ODELL",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101102764",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101102764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Simko, MD
• Heather Simmons, MSN, FNP, APRN
• Khadene Simmons
• Rebekah Louise Simmons, APRN, NP-C
• Simo Net Inc
• Matthew Simpson
• Kayla Sims, MA, LMHC
• Rachel Sims, CCC-SLP
• Anjali Marie Singh
• Michelle Douglas Singletary

• General Practice Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.