Theodore R Simon (NPI# 1164448254, PAC ID# 3375444862) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NUCLEAR MEDICINE.
| Nation Provider ID (NPI) | 1164448254 |
| PAC ID by PECOS | 3375444862 |
| Professional Enrollment ID | I20040116001039 |
| Full Name | Theodore R Simon |
| Organization Legal Name | FUNCTIONAL IMAGING OF TEXAS PA |
| Address |
8345 Walnut Hill Ln Suite 210 Dallas TX 75234-4209 |
| Phone Number | 2144352866 |
| Gender | M |
| Credential | MD |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | NUCLEAR MEDICINE |
| Group Practice PAC ID | 3870511462 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450647 | MEDICAL CITY DALLAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8345 Walnut Hill Ln, Suite 210, Dallas, TX 75234-4209 | 2144352866 | FUNCTIONAL IMAGING OF TEXAS PA |
| 8345 Walnut Hill Ln, Dallas, TX 75234-4209 | 2144352866 | FUNCTIONAL IMAGING OF TEXAS PA |
| Organization Legal Name | FUNCTIONAL IMAGING OF TEXAS PA |
| Physicians | 1 |
| Street Address |
8345 WALNUT HILL LN SUITE 210 |
| City | DALLAS |
| State | TX |
| Zip | 75234-4209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth R Seymour | Family Medicine | Environmental Health Center-north Texas Pa | 8345 Walnut Hill Ln, Suite 220, Dallas, TX 75231-4205 |
| Stephanie L Mccarter | Internal Medicine | Environmental Health Center-north Texas Pa | 8345 Walnut Hill Ln, Suite 220, Dallas, TX 75231-4205 |
| Linh B Nguyen | Internal Medicine | 8345 Walnut Hill Ln, 105 Prima Health Clinic, Dallas, TX 75231-4245 | |
| Dennis Kay | Ophthalmology | 8345 Walnut Hill Ln, Suite 140, Dallas, TX 75231-4247 | |
| William J Rea | General Practice | Environmental Health Center Dallas | 8345 Walnut Hill Ln, Dallas, TX 75231-4205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra D Balanciere | Nurse Practitioner | Farmers Branch Primary Care LLC | 13000 Josey Lane, 100 Farmers Branch Primary Care, Farmers Branch, TX 75234 |
| Nitin K Patel | Optometry | 2755 Valley View Lane, Suite 100, Farmers Branch, TX 75234 | |
| Dennis H Birenbaum | Hematology/oncology | Thoc Pa | Plaza, Suite 3, Dallas, TX 75234 |
| Eugene Johathan Wyszynski | Hematology/oncology | Thoc Pa | Plaza, Suite 3, Dallas, TX 75234 |
| Alonda E. Crockett | Nurse Practitioner | 13000 Josey Lane, 100 Farmers Branch Primary Care, Farmers Branch, TX 75234 | |
| Hieu T Truong | General Practice | 2437 Valwood Pkwy, Farmers Branch, TX 75234-3411 | |
| Martha J Rodriguez-ruiz | Family Medicine | The Ruiz Group LLC | 2914 Valley View Ln, Suite 130, Farmers Branch, TX 75234-4929 |
| David Frank Pascoe | Nurse Practitioner | Lumincare Physician Group Pa | 2914 Valley View Ln, Farmers Branch, TX 75234-4929 |
| Raymond Eugene Liverman Jr. | Chiropractic | 2736 Valley View Ln, Suite 200, Dallas, TX 75234-4969 | |
| Dan Nguyen | Family Medicine | 12879 Josey Ln, Suite 100, Farmers Branch, TX 75234-6909 | |
| Find all physicians in zip 75234 | |||
| City | DALLAS |
| Zip Code | 75234 |
| Specialty | NUCLEAR MEDICINE |
| City + Specialty | DALLAS + NUCLEAR MEDICINE |
Please comment or provide details below to improve the information on Theodore R Simon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.