DERRON M SIMON (NPI# 1164482980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164482980 |
| Entity Type | Individual |
| Full Name | DERRON M SIMON |
| Credential | MD |
| Practice Address |
2221 N Buchanan St Arlington VA 22207-2526 |
| Mailing Address |
2221 N. Buchanan Street Arlington VA 22207 |
| Practice Telephone | 7036882478 |
| Practice Fax Number | 7036883438 |
| Mailing Telephone | 7036882478 |
| Mailing Fax Number | 7036883438 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101232169 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 189723 | 01 | |
| VA | MEDICARE | 00X035C01 | 01 |
| Street Address |
2221 N BUCHANAN ST |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22207-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902153992 | Ageless M.d., LLC | Clinic/Center | 2221 N Buchanan St, Arlington, VA 22207-2526 | 2012-08-08 |
| 1194939033 | Rajesh Puri | Pediatrics | 2221 N Buchanan St, Suite B., Arlington, VA 22207-2526 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952820383 | Myrna Carlin Del Olivar | Dentist | Santa Rosalia 20380, Ste 3, Tijuana, BAJA CALIFORNIA 22207 | 2017-09-18 |
| 1770937617 | Jennifer Claire Gagnon | Nurse Practitioner | 2807 N. Glebe Road, Marymount University, Student Health, Arlington, VA 22207 | 2016-04-18 |
| 1609297308 | Henry L Danaceau, Md Ltd | Orthopaedic Surgery | 2501 North Glebe Road, Arlington, VA 22207 | 2013-12-23 |
| 1508121856 | Ashanti Sade Fludd | Home Health Aide | 5010 22nd Street, North Arlington, VA 22207 | 2012-07-11 |
| 1619204609 | Nathaniel Thomas Connally Jr. | Internal Medicine | 3563 N. Abingdon St., Arlington, VA 22207 | 2009-11-11 |
| 1548421076 | Physical Therapy Health Center | Clinic/Center | 5312 N 36th St, Arlington, VA 22207 | 2008-06-18 |
| 1770784415 | Edmund Russell Lynn Jr. | Social Worker | 6033 Little Falls Rd, Arlington, VA 22207 | 2007-05-30 |
| 1053520494 | Deborah Cusick Defranco | Specialist/Technologist | 1426 North Quincy Street, Arlington, VA 22207 | 2007-05-22 |
| 1316081284 | Denise E Bruner Md & Assoc PC | Internal Medicine | 5015 Lee Highway, Suite 201, Arlington, VA 22207 | 2007-02-16 |
| 1740340751 | Albert John Kalil | Psychologist | 4635 14th St North, Arlington, VA 22207 | 2006-12-11 |
| Find all providers in zip 22207 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740613231 | Covenant Surgery Associates | Surgery | 306 E Randol Mill Rd Ste 106, Arlington, TX 76011-5841 | 2013-08-20 |
| 1023377421 | Walter Ernest Williamson Jr. | Surgery | 4806 Wooded Acres Drive, Arlington, TX 76016 | 2012-05-07 |
| 1790076826 | Elisabeth Grace Jones Brown | Surgery | 3150 Matlock Rd Ste 401, Medical Center of Arlington, Arlington, TX 76015-2924 | 2011-04-24 |
| 1255566592 | Richard Paul Wikoff | Surgery | 1741 East Bardin Road, Suite 291, Jps Out-patient Clinic, Arlington, TX 76018-4825 | 2009-05-15 |
| 1336279934 | Kathleen Ann Mayzel | Surgery | 39 Hathaway Cir, Arlington, MA 02476-7209 | 2007-03-06 |
| 1285770784 | Clayton A Frenzel | Surgery | 1000 North Davis Drive, Suite B, Arlington, TX 76012 | 2007-01-30 |
| 1730258294 | Craig Rezac | Surgery | 1625 N George Mason Dr Ste 454, Arlington, VA 22205-3684 | 2006-11-07 |
| 1679547863 | Jason M Harrison | Surgery | 301 Highlander Blvd, Suite 101, Arlington, TX 76018 | 2006-02-14 |
| 1487627972 | Augustus Eugene Lyons | Surgery | 811 W Interstate 20 Ste 212, Arlington, TX 76017-5873 | 2006-02-07 |
| 1447258801 | Peter Wolff | Surgery | 875 Wesley St Ste 230, Arlington, WA 98223-1668 | 2005-07-11 |
| Find all providers in ARLINGTON | ||||
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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.