DR. ESAN ODELL SIMON (NPI# 1841276433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841276433 |
| Entity Type | Individual |
| Full Name | DR. ESAN ODELL SIMON |
| Credential | M.D., M.B.A. |
| Practice Address |
15100 Rescue Way Uscg Air Station Clearwater Medical Clinic Clearwater FL 33762-3502 |
| Practice Telephone | 7275351437 |
| Practice Fax Number | 7275354190 |
| Mailing Telephone | 7275351437 |
| Mailing Fax Number | 7275354190 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2013-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0101102764 | VA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 0101102764 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
15100 RESCUE WAY USCG AIR STATION CLEARWATER MEDICAL CLINIC |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33762-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063819621 | Daniel Coleman | Emergency Medical Technician, Basic | 15100 Rescue Way, Clearwater, FL 33762-3502 | 2014-11-25 |
| 1467629980 | Kristine Joy Distor | Military Health Care Provider | 15100 Rescue Way, Clearwater, FL 33762-3502 | 2008-05-14 |
| 1326215724 | Kenneth Edward Kopitzke | Military Health Care Provider | 15100 Rescue Way, Uscg Air Station Clearwater Clinic, Clearwater, FL 33762 | 2008-05-14 |
| 1134396914 | Maryellen Tilly | Dental Hygienist | 15100 Rescue Way, Dental, Clearwater, FL 33762-3502 | 2008-05-12 |
| 1184767006 | Amber Lynn Barrick | Military Health Care Provider | 15100 Rescue Way, Clearwater, FL 33762 | 2007-02-14 |
| 1326180308 | Vivian Linette Pares | Dental Hygienist | 15100 Rescue Way, Clearwater, FL 33762 | 2007-02-13 |
| 1265572986 | Teresa Davis | Military Health Care Provider | 15100 Rescue Way, Clearwater, FL 33762 | 2007-02-08 |
| 1659411700 | Angela Karcinski | Physician Assistant | 15100 Rescue Way, Us Coast Guard Airsta Clearwater, Clearwater, FL 33762-3502 | 2007-02-07 |
| 1306986393 | Uscg Personal Service Center | Health Maintenance Organization | 15100 Rescue Way, Clearwater, FL 33762 | 2007-02-07 |
| 1609950674 | Uscg Air Station Clearwater | Clinic/Center | 15100 Rescue Way, Clearwater, FL 33762 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
| 1134756869 | Pinellas County Sheriff's Office | Clinic/Center | Pinellas County Jail, 14400 49th Street North, Clearwater, FL 33762 | 2020-03-24 |
| 1285272815 | Gastro Florida Pharmacy, LLC | Pharmacy | 3001 Executive Drive, Suite 130, Clearwater, FL 33762 | 2019-12-13 |
| 1013401108 | Franz Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 4707 140th Ave N Ste 307, Clearwater, FL 33762 | 2018-06-21 |
| 1023502184 | Clearwater Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 4707 140th Ave N Ste 312, Clearwater, FL 33762 | 2018-06-21 |
| 1861803850 | Pinellas 1 Home Health Corp | Home Health | 4707 140th Avenue North Ste 106a, Clearwater, FL 33762 | 2014-05-13 |
| 1093065633 | Fast360 LLC | Transportation Broker | 10200 49th St N Ste 100, Clearwater, FL 33762 | 2012-09-11 |
| 1316253867 | Sophia Zavrou | Psychologist | 2325 Ulmerton Rd Ste 7g, Clearwater, FL 33762 | 2010-08-22 |
| 1356671275 | Suncoast Medicare Supply Company Inc. | Durable Medical Equipment & Medical Supplies | 4552b 107th Circle N, Clearwater, FL 33762 | 2009-12-29 |
| 1407006042 | Cynthia Rena' Williams | Physical Therapist | 13535 Feather Sound Dr., Suite 135, Clearwater, FL 33762 | 2008-09-19 |
| Find all providers in zip 33762 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1235251950 | George Henry Coupe | General Practice | 1320 So Belcher Rd, Clearwater, FL 33764 | 2007-04-04 |
| 1427026574 | Elizabeth Marjorie Arboleda | General Practice | 310 N Myrtle Ave, Clearwater, FL 33755-4431 | 2006-03-14 |
| 1699147116 | Divine Aging, LLC | General Practice | 2325 Ulmerton Rd, Suite 19, Clearwater, FL 33762-2282 | 2015-10-23 |
| 1336537331 | American Integrative Health | General Practice | 1001 S Fort Harrison Ave, Suite 200, Clearwater, FL 33756-3941 | 2014-12-30 |
| 1821401191 | Florida Wellness Institute of Pinellas County, LLC | General Practice | 1000 S Fort Harrison Ave, Suite A, Clearwater, FL 33756-3906 | 2014-06-04 |
| 1275979700 | Pain Dx Solutions of Florida, LLC | General Practice | 24945 Us Highway 19 N, Clearwater, FL 33763-3927 | 2013-05-10 |
| 1669817516 | Empath Community Health LLC | General Practice | 5771 Roosevelt Blvd, Clearwater, FL 33760-3407 | 2013-05-06 |
| 1902180789 | Willa Carson Health and Wellness Center | General Practice | 1108 N Martin Luther King Jr Ave, Clearwater, FL 33755-3222 | 2011-09-28 |
| 1568774479 | Sandbay Family Practice, L.L.C. | General Practice | 2086 Gulf To Bay Blvd, Clearwater, FL 33765-3714 | 2010-07-08 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33762 |
Please comment or provide details below to improve the information on DR. ESAN ODELL 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.