TIFFANY SIMON (NPI# 1720593346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720593346 |
| Entity Type | Individual |
| Full Name | TIFFANY SIMON |
| Credential | DO |
| Practice Address |
11375 Cortez Blvd Brooksville FL 34613 |
| Mailing Address |
11375 Cortez Blvd Brooksville FL 34613-5409 |
| Practice Telephone | 3527973500 |
| Mailing Telephone | 3525962756 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | UO5834 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497315386 | Tiffany Simon | Counselor | 17240 Huffmeister Rd Ste 104, Cypress, TX 77429-4694 | 2019-06-13 |
| 1730561671 | Tiffany Simon | Nurse Practitioner | 8595 Picardy Ave, Ste 100, Baton Rouge, LA 70809-3670 | 2015-06-27 |
| 1326216789 | Tiffany Ann Simon | Physician Assistant | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2008-02-19 |
| Street Address |
11375 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252325 | Francisco Menendez | Radiology | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2005-08-11 |
| 1740809268 | Benjamin Micah Reinhold | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-14 |
| 1427677392 | Meagan Brandy Powers | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-10 |
| 1619596749 | Rahman Hashimie | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-09 |
| 1184243271 | Bradford James Felker Montane | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-09 |
| 1689293763 | Marjory Jones | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-09 |
| 1427687615 | Sai Pavan Kumar Vemula | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-08 |
| 1609495886 | Andrew Massaband | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-08 |
| 1518596741 | Nabeel Zafrullah | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-08 |
| 1972132124 | Ryan Maurice Johnson | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1316196744 | Osteopathic Heritage, P.a. | Family Medicine | 959 W Jefferson St, Brooksville, FL 34601-2427 | 2008-09-10 |
| 1942335104 | Brooksville Walk In Clinic LLC | Family Medicine | 433 W Jefferson St, Brooksville, FL 34601-2500 | 2007-02-21 |
| 1669580668 | Mark D Bowden | Family Medicine | 31075 Cortez Blvd, Brooksville, FL 34602-7542 | 2006-08-29 |
| 1013025022 | Ridge Manor Family Medicine,llc | Family Medicine | 31158 Cortez Blvd, Brooksville, FL 34602-7552 | 2006-08-29 |
| 1417963778 | Mauricio Bermudez | Family Medicine | 12900 Cortez Blvd Ste 102, Brooksville, FL 34613-6897 | 2006-07-31 |
| 1164456059 | Brian M Roebuck | Family Medicine | 11329 Cortez Blvd, Brooksville, FL 34613-5407 | 2006-07-10 |
| 1134152044 | Jatin Natvarlal Sheth | Family Medicine | 920 W Jefferson St, Brooksville, FL 34601-2428 | 2006-07-07 |
| 1578591095 | Michael Rhea King | Family Medicine | 44 Veterans Ave, Brooksville, FL 34601-3215 | 2006-06-30 |
| 1033169487 | Manjari Ilesh Patel | Family Medicine | 11375 Cortez Blvd., State Rd 50, Oak Hill Hospital, Brooksville, FL 34613 | 2006-05-10 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
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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.