JENNY SIMON


Address: 1001 N Country Club Rd, Ada, OK 74820-2847
Phone: 5804363980

JENNY SIMON (NPI# 1164641825) 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) 1164641825
Entity Type Individual
Full Name JENNY SIMON
Credential PA-C
Practice Address 1001 N Country Club Rd
Ada
OK 74820-2847
Mailing Address 11804 Talver Ln
Oklahoma City
OK 73170-4453
Practice Telephone 5804363980
Enumeration Date 2007-04-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1583 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1001 N COUNTRY CLUB RD
City ADA
State OK
Zip Code 74820-2847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164408928 Clint Forrest Physician Assistant 1001 N Country Club Rd, Ada, OK 74820-2847 2005-12-22
1184940926 Bobby Saunkeah Registered Nurse 1001 N Country Club Rd, Ada, OK 74820-2847 2010-04-19
1689810376 Linda Lewis Counselor 1001 N Country Club Rd, Ada, OK 74820-2847 2008-12-30
1053557736 Shannon Treat Counselor 1001 N Country Club Rd, Ada, OK 74820-2847 2008-12-30
1558507244 Joan Garvin Counselor 1001 N Country Club Rd, Ada, OK 74820-2847 2008-12-30
1487899704 Lesli Barrett Physical Medicine & Rehabilitation 1001 N Country Club Rd, Ada, OK 74820-2847 2008-12-16
1770788408 Lyn Page Dentist 1001 N Country Club Rd, Ada, OK 74820-2847 2007-06-21
1992839211 Melissa Gayle Vavricka-conaway Dietitian, Registered 1001 N Country Club Rd, Ada, OK 74820-2847 2007-03-16
1578627824 Troy Caldwell Anesthesiology 1001 N Country Club Rd, Ada, OK 74820-2847 2006-12-21
1467513135 Jang Kim Radiology 1001 N Country Club Rd, Ada, OK 74820-2847 2006-12-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578103727 Curry Orthopedics and Sports Medicine Pllc Orthopaedic Surgery 919 Colony Drive, Ada, OK 74820 2020-01-15
1215574603 Miranda Denise Bowman Counselor 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 2019-12-04
1326509654 Patricia June Harjo Case Manager/Care Coordinator Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 2019-03-28
1649737172 Rylee Nikole Leblanc Case Manager/Care Coordinator 1119 S High School St, Ada, OK 74820 2019-02-20
1891251328 David Kinback Rehabilitation Counselor 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 2019-02-20
1922571009 Central Oklahoma Family Medical Center, Inc. Pharmacy 905 Colony Dr, Ada, OK 74820 2019-01-10
1063988673 Central Oklahoma Family Medical Center, Inc Clinic/Center 905 Colony Drive Bldg, Ada, OK 74820 2018-10-22
1265907885 Apex Surgery Center, LLC Surgery 2001 Cradduck Road, Ada, OK 74820 2018-10-10
1689150898 Sabrina Simmons Social Worker 2516 Oakhurst Dr Apt E, Ada, OK 74820 2018-07-11
1700370467 Brianna Leigh Youngwolfe Nurse Practitioner 2020 Arlington St Ste 6, Ada, OK 74820 2018-06-17
Find all providers in zip 74820

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710528898 Morgan Nicole Nolletti Physician Assistant 505 N Gilbert St, Ada, OH 45810-1011 2019-09-30
1386035715 Kacie Wilkin Physician Assistant 905 Colony Dr Bldg, Ada, OK 74820-2297 2015-02-06
1508917659 Angela Marie Skyberg Physician Assistant Bridges Medical Center, 201 9th Street W., Ada, MN 56510 2007-01-16
1760540413 Brian Paul Freeland Physician Assistant 919 Colony Dr, Ada, OK 74820-2329 2006-12-05
1699869404 Jami Coleman Physician Assistant 807 N Monte Vista St, Women's Health Center, Ada, OK 74820-7711 2006-10-03
1760594378 Bradford Wayne Maxey Physician Assistant 1023 Arlington St, Ada, OK 74820-4042 2006-08-31
1710920178 Tiffany Kay Wilson Physician Assistant 301 N Monte Vista St, Ada, OK 74820-4607 2006-06-14
1619954690 Sherry Heck Physician Assistant 530 N Monte Vista St, Suite A, Ada, OK 74820-4675 2005-12-29
1164408928 Clint Forrest Physician Assistant 1001 N Country Club Rd, Ada, OK 74820-2847 2005-12-22
1427693787 Payton Elizabeth Mcadams Physician Assistant 430 N Monte Vista St, Ada, OK 74820-4610 2019-11-11
Find all providers in ADA

Competitor

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City ADA
Zip Code 74820

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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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