Simone Mordas MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

77150 Issued in MA

Legal business name

SIMONE MORDAS MD PC

Practice address

203 Oak St
Natick, MA 01760-1306

Phone

(508) 647-1040

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Simone Elizabeth Mordas, M.D.NPI 1073507984

Title

President

Phone

(508) 647-1040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simone Mordas, MD

  • Internal Medicine Physician
  • Natick, MA
  • NPI 1073507984
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1962616805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601306",
            "telephone_number": "508-647-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONE MORDAS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "MORDAS",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-647-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "77150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Simas, PHYSICIAN ASSISTANT
• Kelly Simmons
• Simon Medical Service
• Simon Medical Services, Inc.
• Naticia Simon
• Arielle Simons
• Taina Sims
• Carrie Skinner, COTA
• Sarah Slattery
• Karen Small, OTR L

• Internal Medicine Physician in Natick, MA
• Providers in Natick, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.