DR. ETHAN ALCIDE SIMONEAU (NPI# 1124544382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124544382 |
| Entity Type | Individual |
| Full Name | DR. ETHAN ALCIDE SIMONEAU |
| Credential | DPM |
| Practice Address |
10000 Bay Pines Blvd Bay Pines FL 33744-8200 |
| Mailing Address |
1560 Central Ave Unit 356 St Petersburg FL 33705-1623 |
| Practice Telephone | 7273986661 |
| Mailing Telephone | 6036305851 |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2017-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PR541 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
10000 BAY PINES BLVD |
| City | BAY PINES |
| State | FL |
| Zip Code | 33744-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423596 | Lawrence Alan Gaulkin | Family Medicine | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2005-08-09 |
| 1225638943 | Mary Catherine Mercer | Psychologist | 10000 Bay Pines Blvd, Mh&bss (116), Bay Pines, FL 33744 | 2020-10-30 |
| 1407456650 | Alisah N Lauderdale | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-27 |
| 1710584503 | Jeffrey Scott Mcdonald | Counselor | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-05 |
| 1841897642 | Cecelia Anne Bushery | Counselor | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-05 |
| 1982201141 | Brett Marshel Taylor | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-01 |
| 1588271951 | Jennifer Ngoc Ngo | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1750998274 | Nara Celeste Lee | Dietitian, Registered | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1972110393 | Nardine-mary Yassa | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1881201309 | Quynh-nhu Courtney Truong | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267258 | Katlyn Shelley Starr | Social Worker | 10000 Bay Pines Vahca, Bay Pines, FL 33744 | 2020-08-31 |
| 1518508555 | Jesse James Callahan | Registered Nurse | Jerri-jean Miller, Clinical Staff Affairs Va Healthcare System, Bay Pines, FL 33744 | 2019-10-01 |
| 1891347118 | Shakisha Lawson | Nurse Practitioner | Bay Pines Va Hospital, 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2019-07-16 |
| 1427519610 | Channing Anne Sofko | Psychologist | Bay Pines Vahcs, 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2019-03-29 |
| 1255710299 | Lisa Ann Snyder | Social Worker | 10000 Bay Pines Blvd Bldg 102 Room D185, Bay Pines Vahcs (116d), St Petersburg, FL 33744 | 2015-05-22 |
| 1598011272 | Emily G King | Clinical Neuropsychologist | 10,000 Bay Pines Blvd (116b), Bay Pines, FL 33744 | 2012-07-31 |
| 1245494376 | Saifu Daniel | Internal Medicine | 10000 Bay Pine Blvd, Bay Pines Va Hospital, Bay Pines, FL 33744 | 2008-07-17 |
| 1114195047 | Brook Hay | Psychologist | 10000 Bay Pines Blvd (bay Pines Va), Bldg. 102, C Wing (116c), Bay Pines, FL 33744 | 2008-02-13 |
| 1831399260 | Rodrique A Rodney | Pharmacist | Bay Pines Va 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2007-07-24 |
| 1831395979 | Jennifer Lynn Thompson | Nurse Practitioner | 10,000 Baypines Blvd, Bldg 101, St. Petersburg, FL 33744 | 2007-06-25 |
| Find all providers in zip 33744 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306463658 | Gavin Wiliam Oakley | Podiatrist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-07-02 |
| 1942458294 | Melissa Abercrombie | Podiatrist | 10000 Bay Pines Boulevard, Bay Pines, FL 33744 | 2008-08-28 |
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| 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.