DR. FRED L SIMON (NPI# 1437145919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437145919 |
| Entity Type | Individual |
| Full Name | DR. FRED L SIMON |
| Credential | MD |
| Practice Address |
4665 S Congress Ave Suite 100 Lake Worth FL 33461-4754 |
| Mailing Address |
Po Box 20689 West Palm Beach FL 33416-0689 |
| Practice Telephone | 5616490243 |
| Practice Fax Number | 5616494132 |
| Mailing Telephone | 5616490243 |
| Mailing Fax Number | 5616490243 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2009-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME 30854 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00686507 | 01 |
| FL | 038426700 | 05 | |
| FL | 000594200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700212412 | Fred Simon | Ophthalmology | 1564 Steamboat Ct, Evergreen, CO 80439-9561 | 2013-09-25 |
| 1023216694 | Fred Simon | Family Medicine | 62917 Peach Rd, Montrose, CO 81401-9124 | 2007-07-05 |
| 1568525566 | Fred Joseph Simon Jr. | Surgery | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2006-12-19 |
| 1407840952 | Fred A Simon Jr. | Obstetrics & Gynecology | 1111 Lighthouse Lane, Goshen, IN 46526-3824 | 2005-09-09 |
| Street Address |
4665 S CONGRESS AVE SUITE 100 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598563 | Steven G Goff | Surgery | 4665 S Congress Ave, 100, Lake Worth, FL 33461-4754 | 2005-09-20 |
| 1003001488 | Fred L Simon Md Pa | Surgery | 4665 S Congress Ave, Suite 102, Lake Worth, FL 33461-4754 | 2007-09-10 |
| 1851408587 | Clare Morales | Physician Assistant | 4665 S Congress Ave, Suite 100, Lake Worth, FL 33461-4754 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| 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 |
|---|---|---|---|---|
| 1821618729 | Herbert Paul Lerner | Surgery | 10815 Royal Devon Way, Lake Worth, FL 33449-8650 | 2020-04-21 |
| 1972598563 | Steven G Goff | Surgery | 4665 S Congress Ave, 100, Lake Worth, FL 33461-4754 | 2005-09-20 |
| 1871962720 | 21st Century Oncology LLC | Surgery | 142 John F Kennedy Dr, Lake Worth, FL 33462-1159 | 2015-09-22 |
| 1891164208 | 21st Century Oncology LLC | Surgery | 142 John F Kennedy Dr, Lake Worth, FL 33462-1159 | 2015-09-16 |
| 1538437694 | Sfm Surgery V LLC | Surgery | 142 John F Kennedy Dr, Lake Worth, FL 33462-1159 | 2011-12-05 |
| 1891939385 | Alvaro Ernesto Castillo | Surgery | 142 John F Kennedy Dr, Lake Worth, FL 33462 | 2009-04-28 |
| 1124263603 | Mark Joseph Meyer | Surgery | 142 John F Kennedy Dr, Lake Worth, FL 33462-1159 | 2008-12-11 |
| 1003001488 | Fred L Simon Md Pa | Surgery | 4665 S Congress Ave, Suite 102, Lake Worth, FL 33461-4754 | 2007-09-10 |
| 1992900062 | Audley Lloyd Martin Osbourne | Surgery | 5065 State Road 7, Suite 203, Lake Worth, FL 33449-4615 | 2007-06-19 |
| 1710196936 | John D Corbitt Jr. | Surgery | 142 John F Kennedy Dr, Lake Worth, FL 33462-1159 | 2007-05-22 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on DR. FRED L 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.