Individual provider Active NPI

Emilie A Simone, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1972145134
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA061006 Issued in PA
Practice address
1050 Bower Hill Rd Ste 309
Pittsburgh, PA 15243-1870
Phone
(412) 207-2632
Fax
(412) 892-9798
NPI assigned
Oct 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA061006 PA Primary

Addresses

Primary practice location

1050 Bower Hill Rd Ste 309
Pittsburgh, PA 15243-1870

Mailing address

1050 Bower Hill Rd Ste 309
Pittsburgh, PA 15243-1870
Phone (412) 207-2632

Other practice location 1

25 Heckel Rd Ste 104
Mc Kees Rocks, PA 15136-1651
Phone (412) 207-2632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240509003382 PA Practitioner - Physician Assistant 9638510589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General and Vascular Surgery Associates IncGroup PAC ID 6406833904, 3 clinicians

Practice addresses (Care Compare)

1050 Bower Hill Rd
Suite 309
Pittsburgh, PA 15243-1870
Phone (412) 207-2632

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA061006PAMDSurgical Physician Assistant

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1972145134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD STE 309",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431870",
            "telephone_number": "412-207-2632",
            "fax_number": "412-892-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD STE 309",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431870",
            "telephone_number": "412-207-2632",
            "fax_number": "412-892-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Heckel Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Mc Kees Rocks",
            "state": "PA",
            "postal_code": "151361651",
            "country_code": "US",
            "telephone_number": "412-207-2632",
            "fax_number": "412-892-9798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "EMILIE",
        "middle_name": "A",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA061006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.