DANIEL J SIMON (NPI# 1205891512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205891512 |
| Entity Type | Individual |
| Full Name | DANIEL J SIMON |
| Credential | MD |
| Practice Address |
4102 N Roxboro St Durham NC 27704-2122 |
| Practice Telephone | 9195952000 |
| Practice Fax Number | 9195952190 |
| Mailing Telephone | 9195952000 |
| Mailing Fax Number | 9195952190 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2009-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 2006-00474 | NC | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | TL28671 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC MEDICAL LICENSE | 2006-00474 | 01 |
| SC | SC MEDICAL LICENSE | TL28671 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619348166 | Daniel Simon | Occupational Therapist | 2621 E 17th St, Brooklyn, NY 11235-3817 | 2015-10-09 |
| 1104020114 | Daniel Joseph Simon | Dentist | 625 Three Springs Rd, Bowling Green, KY 42104 | 2007-06-13 |
| 1184605776 | Daniel Joseph Simon | Dentist | 1644 Taylor St Apt 42, San Francisco, CA 94133-5447 | 2005-11-10 |
| 1942720586 | Daniel Patrick Simon | Surgery | 1650 W Harrison St, Chicago, IL 60612-3800 | 2017-06-25 |
| 1063959195 | Daniel Simon | Counselor | 2119 2nd Ave, Seattle, WA 98121-2207 | 2017-01-26 |
| 1700215449 | Daniel Simon | Counselor | 6750 West Loop S, Ste.860, Bellaire, TX 77401-4103 | 2013-11-04 |
| 1639471667 | Daniel J Simon | Physician Assistant | 212 E Central Ave, Suite 440, Spokane, WA 99208-6291 | 2010-11-24 |
| 1750614475 | Daniel Marc Simon | Pharmacist | 4 Henry St, Commack, NY 11725-5423 | 2009-09-14 |
| 1174783823 | Daniel J Simon | Social Worker | 6717 Stone Glen Drive, Middleton, WI 53562 | 2008-06-16 |
| 1619135738 | Daniel R Simon | Urology | 4033 Talbot Rd S, Ste 560, Renton, WA 98055-5772 | 2008-05-27 |
| Street Address |
4102 N ROXBORO ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909227 | Milton James | Ophthalmology | 4102 N Roxboro St, Durham, NC 27704-2122 | 2005-06-01 |
| 1598246910 | April Renee Scott | Audiologist | 4102 N Roxboro St, Durham, NC 27704-2122 | 2018-08-23 |
| 1497255137 | Casey Polcari | Audiologist | 4102 N Roxboro St, Durham, NC 27704-2122 | 2018-02-20 |
| 1629369350 | Sara Fransen Grace | Ophthalmology | 4102 N Roxboro St, Durham, NC 27704-2122 | 2011-04-28 |
| 1972782969 | Emily P Pratt | Optometrist | 4102 N Roxboro St, Durham, NC 27704-2122 | 2007-10-26 |
| 1114114915 | Andrea Elizabeth Engel | Audiologist | 4102 N Roxboro St, Durham, NC 27704-2122 | 2007-09-26 |
| 1316070725 | North Carolina Eye Ear Nose & Throat Pa | Ophthalmology | 4102 N Roxboro St, Durham, NC 27704-2122 | 2007-03-14 |
| 1851424261 | North Carolina Eye Ear Nose & Throat Pa | Otolaryngology | 4102 N Roxboro St, Durham, NC 27704-2122 | 2007-03-14 |
| 1588713044 | Anne Marie Harbour-tonn | Speech-Language Pathologist | 4102 N Roxboro St, Durham, NC 27704-2122 | 2007-01-10 |
| 1306880992 | Pankaj Gupta | Otolaryngology | 4102 N Roxboro St, North Carolina Eye Ear Nose and Throat, Durham, NC 27704-2122 | 2006-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598221848 | Eye Physicians and Surgeons of Durham, Pllc | Ophthalmology | 3811 North Roxboro Street, Durham, NC 27704-5800 | 2019-02-12 |
| 1801271457 | Asghar Haider | Ophthalmology | 2351 Erwin Road, Durham, NC 27710-3036 | 2015-07-24 |
| 1114260163 | Jay Berdia | Ophthalmology | 2531 Erwin Rd, Durham, NC 27705 | 2013-03-28 |
| 1912266404 | Andrew Freeman Perin | Ophthalmology | 2351 Erwin Road/hudson Building, Duke Eye Center, Attn: Andrew Perin, Md, Durham, NC 27705 | 2012-05-03 |
| 1184980609 | Varsha Manjunath | Ophthalmology | 270 Leigh Farm Rd, Apt 408, Durham, NC 27707-8137 | 2012-04-10 |
| 1043449218 | Zena I-linn Lim | Ophthalmology | Duke University Medical Center 3802, 2351 Erwin Road, Durham, NC 27710-0001 | 2009-07-09 |
| 1831356716 | Anna Hong Bordelon | Ophthalmology | 2351 Erwin Road Dumc Box 3802, Durham, NC 27710-0001 | 2008-05-19 |
| 1023285988 | Preeya Kshettry Gupta | Ophthalmology | 2351 Erwin Rd # Dumc3802, Durham, NC 27705-4699 | 2008-05-09 |
| 1871777953 | Sasapin Grace Prakalapakorn | Ophthalmology | 2351 Erwin Rd; Dumc 3802, Duke Eye Center; Attn: Kimberly Horton, Durham, NC 27710-0001 | 2007-12-25 |
| 1326247545 | Joseph Nissim Martel | Ophthalmology | Duke Eye Ctr, Dumc 3802, Durham, NC 27710-0001 | 2007-07-17 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.