SHELDON D. SIMON NPI 1568644151

NPI Information

NPI: 1568644151
Provider Name: SHELDON D. SIMON
Classification: Podiatrist - 213ES0000X
Entity Type: Organization

Specialization: Sports Medicine

Address:
1700 FREDERICA ST STE 103
OWENSBORO, KY
ZIP 42301
Phone: (270) 683-4844
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SHELDON D. SIMON is a sports medicine podiatrist in Owensboro, KY. SHELDON D. SIMON NPI is 1568644151. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 FREDERICA ST STE 103
OWENSBORO, KY
ZIP 42301-833
Phone: (270) 683-4844
Fax: (270) 926-8366

The provider's authorized official is Carrie J Jones .
The authorized official title is Office Manager and has the following contact phone number (270) 683-4844.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 12/5/2007.

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
1	213ES0000X	Podiatrist	Sports Medicine			Yes

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
1	45803004	MEDICAID	KENTUCKY

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: 4/28/2024

NPI Synchronization or Removal

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