JEREMY IAN SIMON


Address: 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216
Phone: 2673393500

JEREMY IAN SIMON (NPI# 1073538971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073538971
Entity Type Individual
Full Name JEREMY IAN SIMON
Credential MD
Practice Address 925 Chestnut St
Fifth Floor
Philadelphia
PA 19107-4216
Mailing Address 833 Chestnut St
Suite 1402
Philadelphia
PA 19107-4414
Practice Telephone 2673393500
Practice Fax Number 2155030580
Mailing Telephone 8003219999
Mailing Fax Number 2673393761
Enumeration Date 2006-07-12
Last Update Date 2015-11-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
25MA09061400 NJ Allopathic & Osteopathic Physicians
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
D65463 MD Allopathic & Osteopathic Physicians
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
MD427039 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA IBC 3317718000 01

Other Providers JEREMY SIMON

NPI Name Taxonomy Address Enumeration
1306867767 Jeremy Stephen Simon Dentist 191 Hwy 64 East, Alma, AR 72921 2006-07-21
1629630017 Jeremy Simon Technician 1005 Terminal Way Ste 125, Reno, NV 89502-2198 2019-07-05
1477975084 Jeremy Simon Contractor 5191 S Yosemite St, Suite B, Greenwood Village, CO 80111-3305 2014-01-16
1942552898 Jeremy Randal Simon Occupational Therapist 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222-5185 2012-10-02
1205012028 Jeremy Lee Simon Military Health Care Provider 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 2008-01-10
1306865639 Jeremy R Simon Radiology 7435 W Talcott Ave, Chicago, IL 60631-3707 2006-07-18

Office Location

Street Address 925 CHESTNUT ST
FIFTH FLOOR
City PHILADELPHIA
State PA
Zip Code 19107-4216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417953647 Paul Edward Sullivan Podiatrist 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 2005-06-22
1548868102 Mary Elizabeth Rodgers Social Worker 925 Chestnut St, Philadelphia, PA 19107-4216 2020-10-15
1679108559 Sarah Jane Miranda Internal Medicine 925 Chestnut St, Philadelphia, PA 19107-4216 2020-03-11
1558993493 Noam Shohat Student in an Organized Health Care Education/Training Program 925 Chestnut St, Philadelphia, PA 19107-4216 2020-02-09
1871130625 Scott Paul Sheridan Physical Therapist 925 Chestnut St, Philadelphia, PA 19107-4216 2019-11-27
1063057784 Stephanie Dipaolo Nurse Practitioner 925 Chestnut St, Philadelphia, PA 19107-4216 2019-11-18
1639732464 Alexander Duffy Student in an Organized Health Care Education/Training Program 925 Chestnut St, Philadelphia, PA 19107-4216 2019-04-17
1851856165 Haley Ann Klose Nurse Practitioner 925 Chestnut St, Philadelphia, PA 19107-4216 2019-01-31
1609347855 Kathryn Yingling Nurse Practitioner 925 Chestnut St, Philadelphia, PA 19107-4216 2018-12-16
1154808285 Linda H Roberts Social Worker 925 Chestnut St, Philadelphia, PA 19107-4216 2018-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205071297 Bethia A. Cawley Physical Medicine & Rehabilitation 2804 Southampton Rd, Philadelphia, PA 19154-1207 2008-12-05
1891953188 Paris Hughes Physical Medicine & Rehabilitation 2447 N 54th St, Philadelphia, PA 19131-2423 2008-05-23
1093769614 Zach Broyer Physical Medicine & Rehabilitation 925 Chestnut St., 5th Floor, Rothman Institute, Philadelphia, PA 19107-4216 2006-05-19
1063831584 Milind Patel Physical Medicine & Rehabilitation 1800 Lombard Street, Philadelphia, PA 19146-1414 2014-04-11
1235575531 Spinal Wellness Physical Medicine & Rehabilitation 2026 Chestnut St, Philadelphia, PA 19103-4446 2013-05-14
1609197052 Christina Maria Gonzaga Physical Medicine & Rehabilitation 834 Chestnut St, T150, Philadelphia, PA 19107-5127 2010-06-21
1982837647 Optimal Wellness & Body Sculpting Inc. Physical Medicine & Rehabilitation 601 Walnut St, Ll30, Philadelphia, PA 19106-3323 2009-08-28
1669635116 Amy C Schneider Lyall Physical Medicine & Rehabilitation 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 2008-07-04
1851551980 Advantage Medical & Rehabilitation PC Physical Medicine & Rehabilitation 255 S 17th St, 5th Floor, Philadelphia, PA 19103-6231 2008-06-12
1932273018 Michael A Metz Physical Medicine & Rehabilitation 3110 Grant Avenue, Philadelphia, PA 19114-2542 2006-11-20
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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