THEODORE SIMON (NPI# 1265427447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265427447 |
| Entity Type | Individual |
| Full Name | THEODORE SIMON |
| Credential | DC |
| Practice Address |
1110 E Gibson St Arcadia FL 34266-5011 |
| Mailing Address |
Po Box 997 Palmetto FL 34220-0997 |
| Practice Telephone | 8639930100 |
| Practice Fax Number | 8639932116 |
| Mailing Telephone | 9417764000 |
| Mailing Fax Number | 9418454963 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2016-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH3233 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 380640500 | 05 | |
| FL | BC/BS OF FLORIDA | 40213 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639672868 | Theodore Ahmoud Simon | Rehabilitation Practitioner | 7473 W Lake Mead Blvd Ste 205, Las Vegas, NV 89128-0265 | 2018-03-14 |
| Street Address |
1110 E GIBSON ST |
| City | ARCADIA |
| State | FL |
| Zip Code | 34266-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598146664 | Mcr Health, Inc. | Podiatrist | 1110 E Gibson St, Arcadia, FL 34266-5011 | 2015-06-15 |
| 1780093229 | Mcr Health, Inc. | Chiropractor | 1110 E Gibson St, Arcadia, FL 34266-5011 | 2014-08-08 |
| 1992132328 | Mylissa Persons | Physician Assistant | 1110 E Gibson St, Arcadia, FL 34266-5011 | 2013-09-30 |
| 1023385549 | Regina M Schau | Social Worker | 1110 E Gibson St, Arcadia, FL 34266-5011 | 2011-11-29 |
| 1053473678 | Hannah Grace Bair | Physician Assistant | 1110 E Gibson St, Arcadia, FL 34266-5011 | 2006-12-14 |
| 1023191251 | Brenda Diaz-lehman | Physician Assistant | 1110 E Gibson St, Arcadia, FL 34266-5011 | 2006-10-23 |
| 1417902164 | Dale Edwin Wolford | Obstetrics & Gynecology | 1110 E Gibson St, Arcadia, FL 34266-5011 | 2006-05-23 |
| 1295795441 | Susan Cobb | Counselor | 1110 E Gibson St, Arcadia, FL 34266-5011 | 2006-03-23 |
| 1437127768 | Dumitru-dan Teodorescu | Obstetrics & Gynecology | 1110 E Gibson St, Building A, Arcadia, FL 34266-5011 | 2006-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
| 1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
| 1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
| 1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
| 1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
| 1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
| 1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
| Find all providers in zip 34266 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376056564 | Simon Ma | Chiropractor | 26 E Huntington Dr, Arcadia, CA 91006-3209 | 2017-11-09 |
| 1477094183 | Arcadia Health Chiropractic - Dr. Cassandra Sepulveda, Inc | Chiropractor | 158 E Foothill Blvd, Suite A, Arcadia, CA 91006-2565 | 2017-03-14 |
| 1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
| 1730547621 | Arcadia Chiropractic & Wellness Inc. | Chiropractor | 305 Dettloff Dr, Arcadia, WI 54612-1702 | 2016-02-05 |
| 1346615119 | Jeffrey Kwan Premier Chiropractic | Chiropractor | 411 E Huntington Dr Ste 119, Arcadia, CA 91006-3788 | 2015-12-04 |
| 1992070940 | Cassandra Tricia Shum | Chiropractor | 323 E Foothill Blvd, Suite B, Arcadia, CA 91006-7403 | 2012-03-08 |
| 1356641971 | Ray A Pevey Dc PC | Chiropractor | 423 South First Ave, Arcadia, CA 91006-3831 | 2010-10-29 |
| 1134451289 | Bobby Wu | Chiropractor | 487 W Le Roy Ave, Arcadia, CA 91007-7306 | 2010-01-30 |
| 1083945083 | Gun-hun Kim | Chiropractor | 4262 Lynd Ave, Arcadia, CA 91006-5834 | 2010-01-15 |
| 1881826667 | Cathy Wai-fong Wong Ng | Chiropractor | 323 E Foothill Blvd Ste B, Arcadia, CA 91006-7404 | 2009-08-13 |
| Find all providers in ARCADIA | ||||
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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.