ELLEN M SIMON


Address: 121 Medical Center Dr, Suite 3100, Brunswick, ME 04011-2653
Phone: 2077297939

ELLEN M SIMON (NPI# 1649227331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649227331
Entity Type Individual
Full Name ELLEN M SIMON
Credential M.D.
Practice Address 121 Medical Center Dr
Suite 3100
Brunswick
ME 04011-2653
Practice Telephone 2077297939
Practice Fax Number 2077254717
Mailing Telephone 2077297939
Mailing Fax Number 2077254717
Enumeration Date 2006-05-28
Last Update Date 2017-05-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
160838 MA Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD16225 ME Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
160838 MA Allopathic & Osteopathic Physicians

Other Providers ELLEN SIMON

NPI Name Taxonomy Address Enumeration
1912370735 Ellen A Simon Physical Therapy Assistant 339 E Maple St, North Canton, OH 44720-2593 2015-11-02
1295139228 Ellen Simon Audiologist 301 E Del Mar Blvd, Pasadena, CA 91101-2714 2014-10-20
1841538519 Ellen Juliet Simon Social Worker 604 Solarex Ct, Suite 201, Frederick, MD 21703-7005 2013-01-30
1346461951 Ellen Chernoff Simon Counselor 17304 Preston Rd, #800, Dallas, TX 75252-5618 2007-05-01

Office Location

Street Address 121 MEDICAL CENTER DR
SUITE 3100
City BRUNSWICK
State ME
Zip Code 04011-2653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568465599 Nathaniel Hyde Surgery 121 Medical Center Dr, Ste 2550, Brunswick, ME 04011-2681 2005-05-23
1326410333 Ruth E Macy Physical Therapist 121 Medical Center Dr, Brunswick, ME 04011-2653 2015-10-29
1447650676 Maud Van De Wiele Advanced Practice Midwife 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 2014-08-25
1427320928 Aoife Elizabeth O'brien Advanced Practice Midwife 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 2012-01-31
1083921282 Alexis Leigh Nolan Midwife 121 Medical Center Dr, Ste 2700, Brunswick, ME 04011-2669 2010-09-09
1053544718 Annemarie B. Curnin Midwife 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 2009-08-28
1972768166 Diana Vradii Internal Medicine 121 Medical Center Dr, Suite 3500, Brunswick, ME 04011-2653 2008-07-28
1912167347 Laura B Smith-tucker Nurse Practitioner 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 2008-06-10
1396928412 Suzanne W Zimmerman Registered Nurse 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 2007-12-12
1477762383 Mid Coast Cardiology Internal Medicine 121 Medical Center Dr, Suite 3100, Brunswick, ME 04011-2653 2007-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093276370 Convenientmd LLC Clinic/Center 193 Bath Road, Brunswick, ME 04011 2019-03-28
1326571241 Psychology Specialists of Maine Psychologist 14 Maine St., Suite 309, Brunswick, ME 04011 2017-04-07
1992249775 Avita Brunswick LLC Alzheimer Center (Dementia Center) 89 Admiral Fitch Way, Brunswick, ME 04011 2016-12-13
1215303433 Mary K Kunhardt Social Worker 116 Maquoit Rd, Brunswick, ME 04011 2015-08-12
1861803843 Gretchen Jane Stevens Counselor 136 Maine Street, Suite #6, Brunswick, ME 04011 2014-05-13
1356764567 Kid Function, Inc. Clinic/Center 225 Thomas Point Road, Brunswick, ME 04011 2014-01-23
1356788921 Jacques M. Reynolds Psychiatry & Neurology 81 Medical Center Dr # 2400, Brunswick, ME 04011 2013-05-23
1922369891 Charles Russell Thorp Pharmacist 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 2012-06-06
1992076111 Benjamin C. Tyau Physician Assistant 193 Bath Rd, Brunswick, ME 04011 2012-01-19
1841575339 Bluesage Therapies Inc. Social Worker 214 Raymond Road, Brunswick, ME 04011 2011-10-15
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821072398 George Edmund Powell IIi Internal Medicine 3226 Hampton Ave Ste A, Brunswick, GA 31520-4226 2005-11-30
1891794830 Enrique C. Martinez Internal Medicine 3114a Shrine Rd, Brunswick, GA 31520-4745 2005-07-20
1124500939 Jordan Ahnert Internal Medicine 3226 Hampton Ave Ste A, Brunswick, GA 31520-4226 2018-08-29
1366676256 Geeta Godara Internal Medicine 123 Medical Center Dr, Brunswick, ME 04011-2652 2009-05-07
1477762383 Mid Coast Cardiology Internal Medicine 121 Medical Center Dr, Suite 3100, Brunswick, ME 04011-2653 2007-05-21
1326128497 Scott D Mills Internal Medicine 121 Medical Center Drive, Suite 3100, Brunswick, ME 04011 2006-10-16
1578643664 Paul R Burns Internal Medicine 121 Medical Center Drive, Suite 3100, Brunswick, ME 04011 2006-10-16
1386654457 Strickland, Certain & Jones Internal Medicine 2500 Starling St, Suite #404, Brunswick, GA 31520-4219 2006-08-09
1043238470 Avery Wade Strickland Internal Medicine 2500 Starling St, Suite #404, Brunswick, GA 31520-4219 2006-07-17
1952329385 Mitchell Taylor Jones Internal Medicine 2500 Starling St, Suite #404, Brunswick, GA 31520-4219 2006-07-17
Find all providers in BRUNSWICK

Competitor

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City BRUNSWICK
Zip Code 04011

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Dataset Information

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.

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