DR. TODD E SIMON (NPI# 1811144181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811144181 |
| Entity Type | Individual |
| Full Name | DR. TODD E SIMON |
| Credential | D.O. |
| Practice Address |
300 E Hospital Rd Fort Gordon Augusta GA 30905-5741 |
| Practice Telephone | 7067872248 |
| Mailing Telephone | 7067872248 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 061656 | GA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
061656 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619097383 | Todd A Simon | Physical Therapist | 10909 I-10 E Frwy, Houston, TX 77029 | 2007-03-29 |
| 1962412478 | Todd L Simon | Internal Medicine | 506 6th St, Brooklyn, NY 11215 | 2006-08-08 |
| 1225073489 | Todd Simon | Internal Medicine | 5401 S Congress Ave Ste 211, Atlantis, FL 33462-6637 | 2006-06-19 |
| Street Address |
300 E HOSPITAL RD FORT GORDON |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30905-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881863793 | Luis Suarez Jr. | Surgery | 2233 Richards Rd, Augusta, GA 30906-2837 | 2008-02-25 |
| 1659587269 | Charles Herman Wray | Surgery | 3115 Ramsgate Rd, Augusta, GA 30909-3323 | 2007-05-14 |
| 1386056752 | Michael N Neilson | Surgery | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2014-05-20 |
| 1912297557 | Mrinal Shukla | Surgery | 1120 15th St # Ba-4411, Augusta, GA 30912 | 2011-04-16 |
| 1083930812 | Alison Folger Ward | Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2010-04-19 |
| 1265668271 | Steven M. Roth, M.d., P.C. | Surgery | 2101 Central Ave, Augusta, GA 30904-6706 | 2009-06-04 |
| 1104051754 | University Vascular Specialist, Inc. | Surgery | 818 Saint Sebastian Way, Suite 408, Augusta, GA 30901-2651 | 2009-05-27 |
| 1588829055 | Aaron Michael Hurd | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2008-07-24 |
| 1689867897 | William S Hiltz | Surgery | 630 13th Street, Suite 250, Augusta, GA 30901-1017 | 2007-08-21 |
| 1932303815 | John Thomas Frederick | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2007-06-13 |
| Find all providers in AUGUSTA | ||||
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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.