MRS. SUSAN O SIMONTON (NPI# 1396822573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396822573 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN O SIMONTON |
| Credential | P.A.-C. |
| Practice Address |
2500 E Las Olas Blvd #1504 Ft Lauderdale FL 33301-1508 |
| Practice Telephone | 9545277829 |
| Practice Fax Number | 3055580570 |
| Mailing Telephone | 9545277829 |
| Mailing Fax Number | 3055580570 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9103881 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285626192 | Susan C Simonton | Pathology | 2525 Chicago Ave, Children's Hospitals and Clinics - Pathology - Mpls, Minneapolis, MN 55404-4518 | 2005-08-17 |
| Street Address |
2500 E LAS OLAS BLVD #1504 |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33301-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669668463 | Joann Schneider | Physical Medicine & Rehabilitation | 2500 E Las Olas Blvd, Ft Lauderdale, FL 33301-1508 | 2007-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
| 1083248355 | Aaidebook Inc | In Home Supportive Care | 501 East Olas Blvd., Suite 300 Office 337, Fort Lauderdale, FL 33301 | 2020-02-26 |
| 1962995845 | Primary Care Specialist of South Florida Pa | Internal Medicine | 20200 W Dixie High Way, 1108, Aventura, FL 33301 | 2018-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568842433 | Elaina Williams | Behavioral Analyst | 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 | 2015-06-04 |
| 1598144057 | Cynthia I Pepper | Occupational Therapist | 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 | 2015-05-29 |
| 1972900629 | Marquita Rucker | Counselor | 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 | 2014-11-24 |
| 1932502879 | Martha Bouza | Obstetrics & Gynecology | 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 | 2014-10-07 |
| 1891117016 | Sara Jimenez | Social Worker | 401 Ne 4th Steret, Ft.lauderdale, FL 33301 | 2014-01-07 |
| Find all providers in zip 33301 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265083976 | Matthew Paul Williams | Physician Assistant | 1995 E Oakland Park Blvd Ste 250, Ft Lauderdale, FL 33306-1149 | 2019-09-24 |
| 1528456548 | Florida Practitioners, LLC | Physician Assistant | 1995 E Oakland Park Blvd Ste 250, Ft Lauderdale, FL 33306-1149 | 2014-12-29 |
| 1003040932 | 1st Assist of South Florida LLC | Physician Assistant | 4725 N Federal Hwy, Ft Lauderdale, FL 33308-4603 | 2009-05-06 |
| 1194969923 | Theresa Anne Eichinger | Physician Assistant | 1995 E Oakland Park Blvd Ste 250, Ft Lauderdale, FL 33306-1149 | 2009-04-23 |
| 1871765081 | William Bresnihan | Physician Assistant | 608 Se 6th St, Ft Lauderdale, FL 33301-3418 | 2008-03-27 |
| 1215129622 | Luciano John Radi | Physician Assistant | 6550 N Federal Hwy, Ste 512, Ft Lauderdale, FL 33308-1404 | 2007-08-10 |
| 1033275854 | Joseph E Campbell | Physician Assistant | 6550 N Federal Hwy, Suite 512, Ft Lauderdale, FL 33308-1404 | 2006-12-28 |
| 1194738641 | Julio Beltran | Physician Assistant | 6550 N Federal Hwy, Suite 512, Ft Lauderdale, FL 33308-1404 | 2006-08-15 |
| 1871501981 | Felix Armando Gonzalez-quevedo | Physician Assistant | 6550 N Federal Hwy, Suite 512, Ft Lauderdale, FL 33308-1404 | 2006-08-04 |
| 1992729685 | John Tobias Gray | Physician Assistant | 1995 E Oakland Park Blvd, Suite 250, Ft Lauderdale, FL 33306-1147 | 2006-07-26 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33301 |
Please comment or provide details below to improve the information on MRS. SUSAN O SIMONTON.
| 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.