SIMON FAMILY MEDICINE PLLC NPI 1457630568

NPI Information

  • NPI: 1457630568
  • Provider Name: SIMON FAMILY MEDICINE, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 29D2030114
  • Address: 1995 ERRECART BLVD
    SUITE 208
    ELKO, NV
    ZIP 89801
  • Phone: (866) 403-8476

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NPI Details

SIMON FAMILY MEDICINE, PLLC is a family medicine in Elko, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SIMON FAMILY MEDICINE, PLLC NPI is 1457630568. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1995 ERRECART BLVD
SUITE 208
ELKO, NV
ZIP 89801-346
Phone: (866) 403-8476
Fax: (866) 374-7518

The provider's authorized official is Ronald David Simon .
The authorized official title is Owner and has the following contact phone number (678) 939-9665.

The CLIA number assigned to this NPI record is 29D2030114 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/6/2011 and was last updated on 10/18/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FI107AMEDICARE PINNEVADA

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: 3/30/2025

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