ERIK SHAUN SIMON (NPI# 1851630727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851630727 |
| Entity Type | Individual |
| Full Name | ERIK SHAUN SIMON |
| Credential | PA-C |
| Practice Address |
901 4th St Nw Watertown SD 57201-1558 |
| Mailing Address |
Po Box 822 111 4th St. Se Huron SD 57350 |
| Practice Telephone | 6058868471 |
| Practice Fax Number | 6058869317 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 4th St Se, Huron, SD 57350 | 6053528691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093106700 | Erik Johnson Simon | Student in an Organized Health Care Education/Training Program | 1801 W Taylor St Ste 3c, Chicago, IL 60612-4795 | 2015-02-17 |
| Street Address |
901 4TH ST NW |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063401503 | Niccole J Mack | Physical Therapist | 901 4th St Nw, Watertown, SD 57201-1558 | 2005-10-18 |
| 1386282549 | Trisha Bea Rieffenberger | Family Medicine | 901 4th St Nw, Watertown, SD 57201-1558 | 2019-12-18 |
| 1609322049 | Julianne Marie Triplett Decker | Speech-Language Pathologist | 901 4th St Nw, Watertown, SD 57201-1558 | 2016-08-26 |
| 1134538085 | Casey Grimsrud | Physical Therapist | 901 4th St Nw, Watertown, SD 57201 | 2014-08-05 |
| 1992110340 | Mikala Simon | Physical Therapist | 901 4th St Nw, Watertown, SD 57201-1558 | 2014-06-24 |
| 1760897177 | Scott Swanson | Physical Therapist | 901 4th St Nw, Watertown, SD 57201-1558 | 2014-06-24 |
| 1477973774 | Nina Bishop | Student in an Organized Health Care Education/Training Program | 901 4th St Nw, Watertown, SD 57201-1558 | 2014-04-24 |
| 1932451028 | Sanford Clinic | Clinic/Center | 901 4th St Nw, Watertown, SD 57201-1558 | 2012-10-12 |
| 1932411733 | Edward A Dickes | Internal Medicine | 901 4th St Nw, Watertown, SD 57201-1558 | 2010-07-08 |
| 1023246915 | Kelly Ann Ming | Surgery | 901 4th St Nw, Watertown, SD 57201-1558 | 2009-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961765 | Samantha Jewers | Physician Assistant | 20 California Park, Watertown, MA 02472-2517 | 2020-08-03 |
| 1134757743 | Hira Bakshi | Physician Assistant | 295 Barben Ave, Watertown, NY 13601-4501 | 2020-03-30 |
| 1538795661 | Stephen Robinson | Physician Assistant | 26076 Liberty Ave, Watertown, NY 13601-5910 | 2020-03-20 |
| 1730695941 | Razi Odean Mirshahi | Physician Assistant | 183 Mount Auburn St Apt 46, Watertown, MA 02472-4012 | 2017-12-26 |
| 1790111797 | Marisa Hamlin | Physician Assistant | 22670 Summit Dr Bldg 6, Watertown, NY 13601-7208 | 2013-09-23 |
| 1639476260 | Kell T Giffin | Physician Assistant | 930 Holcomb St, Watertown, NY 13601-4228 | 2011-02-17 |
| 1306068812 | Mountain Medical of Watertown | Physician Assistant | 457 Gaffney Dr, Watertown, NY 13601 | 2007-05-03 |
| 1073677498 | Nonna Khachiyan | Physician Assistant | 11 Mason Rd, Watertown, MA 02472-3314 | 2006-12-20 |
| 1528167277 | Mark Andrew Knowles | Physician Assistant | 457 Gaffney Drive, Watertown, NY 13601-1834 | 2006-09-21 |
| 1336167709 | Michelle Lynne Boulton | Physician Assistant | 171 E. Hoard Street, Watertown, NY 13601-1515 | 2006-07-17 |
| Find all providers in WATERTOWN | ||||
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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.