DR. TAMARA MARIE SIMON MD NPI 1891730917

NPI Information

  • NPI: 1891730917
  • Provider Name: DR. TAMARA MARIE SIMON, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 951 E PLAZA DR
    SUITE 170
    EAGLE, ID
    ZIP 83616
  • Phone: (208) 939-3505

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NPI Details

DR. Tamara Marie Simon, MD is a gynecology obstetrics gynecology in Eagle, ID. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Tamara Marie Simon, MD NPI is 1891730917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

951 E PLAZA DR
SUITE 170
EAGLE, ID
ZIP 83616-566
Phone: (208) 939-3505

The NPI 1891730917 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 enumeration date for this NPI number is 6/20/2006 and was last updated on 9/11/2025.

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
1207VG0400XObstetrics & GynecologyGynecologyM8909IDAHOYes
2207VX0000XObstetrics & GynecologyObstetricsM8909IDAHONo

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: 11/21/2025

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