Simon Ordonez II, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3710 Rawlins St Ste 1370
Dallas, TX 75219-4291

Phone

(214) 520-7575

Fax

(214) 520-7579

NPI assigned

Jun 21, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Flatow Medical Corporation ApcGroup PAC ID 6507273059, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Flatow Medical Corporation Apc

  dba Pacific Mind Health

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1659970333
  Medicare reassignment Care Compare group
• Barry J Fenton M.D., P.a.

  dba Live Oak Counseling

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1912032319
  NPD (past)
• Texas Family Psychology Associates, PC

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1396933172
  NPD (past)
• Thomas and Flatow Medical Corporation

  dba Pacific Mind Health

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1609377902
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1891145884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 S STORY RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750602333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 RAWLINS ST STE 1370",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194291",
            "telephone_number": "214-520-7575",
            "fax_number": "214-520-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDONEZ",
        "first_name": "SIMON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ordas, DO
• Catalina Andrea Ordaz
• Judy Moore Ordemann, M.S.
• Evelyn Oghale Ordia, LMSW
• Carolina Ordonez, LPC
• Oregon Trail Emergency Physicians LLC
• Folake Orehin
• Johanna Oreilly
• Rebecca Eva Orellana, CCC-SLP
• Harry H Orenstein, M.D.

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.