JENNY SIMON (NPI# 1164641825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1583 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1001 N COUNTRY CLUB RD |
| City | ADA |
| State | OK |
| Zip Code | 74820-2847 |
| 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 | ||||
| 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 Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| 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 | ||||
Please comment or provide details below to improve the information on JENNY SIMON.
| 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.