DR. GARY S. SIMON (NPI# 1467440107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467440107 |
| Entity Type | Individual |
| Full Name | DR. GARY S. SIMON |
| Credential | M.D. |
| Practice Address |
2041 Mesa Valley Way Suite 100 Austell GA 30106-8157 |
| Practice Telephone | 7709441100 |
| Practice Fax Number | 7709446469 |
| Mailing Telephone | 7709441100 |
| Mailing Fax Number | 7709446469 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2009-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 040235 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000666311H | 05 | |
| GA | 000666311I | 05 | |
| GA | 000666311C | 05 | |
| GA | 000666311G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427424597 | Gary Simon Jr. | Social Worker | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2015-08-12 |
| 1366654212 | Gary D Simon | Dentist | 3565 Crompond Rd, Cortlandt Manor, NY 10567-7232 | 2007-05-04 |
| 1124191937 | Gary L. Simon | Internal Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2006-11-17 |
| Street Address |
2041 MESA VALLEY WAY SUITE 100 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-8157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444929 | East West Surgery Center Lp | Clinic/Center | 2041 Mesa Valley Way, Ste 125, Austell, GA 30106-6828 | 2005-08-12 |
| 1780042333 | Curtis Anthony Peoples Jr. | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2016-02-10 |
| 1487011771 | April Amaral | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2016-01-19 |
| 1174919880 | Kyle Spinrad | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2015-04-09 |
| 1750717310 | Tor K. Robinson | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2013-09-16 |
| 1821369448 | Mak Anesthesia Ewsc LLC | Anesthesiology | 2041 Mesa Valley Way, Ste 125, Austell, GA 30106-6828 | 2012-01-13 |
| 1710206214 | Mikael Starecki | Orthopaedic Surgery | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106 | 2010-05-24 |
| 1326276734 | Angela Josephine Lucier | Physical Therapist | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2009-06-24 |
| 1467688085 | Marly N. Dows-martinez | Physical Medicine & Rehabilitation | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2009-06-10 |
| 1063625051 | Jeffrey N Hairston | Physician Assistant | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-6828 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435242 | Neil Jay Negrin | Orthopaedic Surgery | 3875 Austell Rd., Ste 201, Austell, GA 30106-1153 | 2005-05-24 |
| 1063415016 | D Hodari Brooks | Orthopaedic Surgery | 3672 Marathon Cir, Suite 200, Austell, GA 30106-6821 | 2005-05-23 |
| 1831192848 | Matthew B. Jaffe | Orthopaedic Surgery | 3672 Marathon Circle, Ste 200, Austell, GA 30106 | 2005-05-23 |
| 1609287168 | Sierra Green Phillips | Orthopaedic Surgery | 3672 Marathon Cir Ste 200, Austell, GA 30106-6821 | 2014-05-17 |
| 1710206214 | Mikael Starecki | Orthopaedic Surgery | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106 | 2010-05-24 |
| 1912167180 | Donald Edward Fowler IIi | Orthopaedic Surgery | 3672 Marathon Cir, Suite 200, Austell, GA 30106-6821 | 2008-06-11 |
| 1225249519 | Sudhir Rama Belagaje | Orthopaedic Surgery | 3672 Marathon Cir, Suite 200, Austell, GA 30106-6821 | 2007-05-25 |
| 1154458800 | Resurgens, PC | Orthopaedic Surgery | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106 | 2007-02-28 |
| 1124017397 | Rafael V. Urrutia Jr. | Orthopaedic Surgery | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-8157 | 2005-10-19 |
| 1437147220 | Todd A. Sacks | Orthopaedic Surgery | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-8157 | 2005-10-06 |
| Find all providers in AUSTELL | ||||
Please comment or provide details below to improve the information on DR. GARY S. SIMON.
| 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.