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DR. EVAN NICHOLAS SIMONSON D.P.M. NPI 1699063743


NPI Information

NPI: 1699063743
Provider Name: DR. EVAN NICHOLAS SIMONSON, D.P.M.
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Individual

Specialization: Foot and Ankle Surgery

Organization: GRANITE ORTHOPAEDICS, PLLC.

PECOS Registration: Yes

Address:
1223 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301
Phone: (928) 777-9950
Get Directions

DR. Evan Nicholas Simonson, D.P.M. is a foot and ankle surgery orthopaedic surgery in Prescott, AZ with 13 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. DR. Evan Nicholas Simonson, D.P.M. NPI is 1699063743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1223 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301-427
Phone: (928) 777-9950
Fax: (928) 777-9975

The NPI 1699063743 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

The enumeration date for this NPI number is 7/11/2011 and was last updated on 6/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery0787ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1923024MEDICAIDARIZONA
2Z170242MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.