Tamara Marie Simon, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

M8909 Issued in ID

Practice address

951 E Plaza Dr
Suite 170
Eagle, ID 83616-6566

Phone

(208) 939-3505

NPI assigned

Jun 20, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Specialty

Obstetrics/Gynecology

Education

Eastern Virginia Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seneca Healthcare DistrictGroup PAC ID 8820907140, shared by 3 NPIs, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Seneca District Hospital Hospital, Chester, CA, CCN 051327

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1215116629
  Care Compare affiliation
• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1396848677
  Care Compare affiliation

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891730917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E PLAZA DR",
            "address_2": "SUITE 170",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167100",
            "telephone_number": "208-939-3505",
            "fax_number": "208-939-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E PLAZA DR",
            "address_2": "SUITE 170",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166566",
            "telephone_number": "208-939-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "TAMARA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "ID",
            "license": "M8909",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "ID",
            "license": "M8909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Shupperd, DPT
• Erik David Sibbernsen, M.D.
• Kelsey Sieger, FNP-C
• Talia M Sierra, PA
• Sierrita Senior Living LLC
• Cody Simonson
• Simply Womens Health LLC
• Gilbert H Simpson, D.M.D.
• Kiara Sivesind
• Rachel Dene Sloan, DPT

• Gynecology Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Gynecology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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; Opt Out Affidavits.
• 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.