ABBY LYNNE SIMON


Address: 506 1st Ave Se, Watertown, SD 57201-4499
Phone: 6058868482

ABBY LYNNE SIMON (NPI# 1457903833) 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) 1457903833
Entity Type Individual
Full Name ABBY LYNNE SIMON
Credential PA
Practice Address 506 1st Ave Se
Watertown
SD 57201-4499
Practice Telephone 6058868482
Practice Fax Number 6058844332
Mailing Telephone 6058868482
Mailing Fax Number 6058844300
Enumeration Date 2019-07-15
Last Update Date 2020-08-19
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Providers ABBY SIMON

NPI Name Taxonomy Address Enumeration
1639637952 Abby Elyssa Simon Social Worker 13123 E 16th Ave, Aurora, CO 80045-7106 2019-03-05

Office Location

Street Address 506 1ST AVE SE
City WATERTOWN
State SD
Zip Code 57201-4499

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275522732 Brown Pharmacy LLC Pharmacy 506 1st Ave Se, Watertown, SD 57201-4402 2005-10-18
1831709369 Heidi Maurine Barber Nurse Practitioner 506 1st Ave Se, Watertown, SD 57201-4499 2020-08-10
1497363113 Allison Judeen Decurtins Nurse Practitioner 506 1st Ave Se, Watertown, SD 57201-4499 2020-07-20
1699327262 Rachel Leiseth Physician Assistant 506 1st Ave Se, Watertown, SD 57201-4499 2019-07-12
1336617604 Jennifer Guest Health Educator 506 1st Ave Se, Watertown, SD 57201-4499 2018-11-05
1184192650 Kristina R Boetel Nurse Practitioner 506 1st Ave Se, Watertown, SD 57201-4499 2018-11-02
1942775713 Rebekah Ruth Storm Nurse Practitioner 506 1st Ave Se, Watertown, SD 57201-4499 2018-10-09
1205225661 Abby M Gietzen Physician Assistant 506 1st Ave Se, Watertown, SD 57201-4402 2015-01-22
1205230414 Eric L. Woolley Podiatrist 506 1st Ave Se, Watertown, SD 57201 2014-10-17
1689957565 Lindsey Anne Barthel Nurse Practitioner 506 1st Ave Se, Watertown, SD 57201-4499 2011-09-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245878032 Samantha Kay Kratovil Dietitian, Registered 4 19th St Ne, Watertown, SD 57201 2019-12-12
1326516501 Edgewood Watertown Mc 2 LLC Assisted Living Facility 225 14 Ave Ne, Watertown, SD 57201 2018-11-06
1023503406 Rhonda Jean Cyre Occupational Therapy Assistant 613 B 1st Ave Se, Watertown, SD 57201 2018-06-27
1083160717 Joyce Anderson Psychologist 1124 Konrady Dr. Ne, Watertown, SD 57201 2016-09-01
1336584630 Jeffrey Alan Dorrity Otolaryngology 1201 Mickelson Dr, Watertown, SD 57201 2013-05-01
1427397389 Vickie Lynn Burchatz Occupational Therapy Assistant 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 2013-02-12
1215292560 Eagle Vision Eyewear Supplier (Equipment, not the service) 906 1/2 9th Ave Se, Watertown, SD 57201 2012-07-11
1669777462 Eve Lynn Hensler Audiologist 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 2011-01-26
1760792261 Maria Redmond Physical Therapist 810 South Maple, Watertown, SD 57201 2010-10-18
1194918995 Colette Wheeler Occupational Therapist 17330, 458th Ave, Watertown, SD 57201 2007-08-24
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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
1457961765 Samantha Jewers Physician Assistant 20 California Park, Watertown, MA 02472-2517 2020-08-03
1134757743 Hira Bakshi Physician Assistant 295 Barben Ave, Watertown, NY 13601-4501 2020-03-30
1538795661 Stephen Robinson Physician Assistant 26076 Liberty Ave, Watertown, NY 13601-5910 2020-03-20
1730695941 Razi Odean Mirshahi Physician Assistant 183 Mount Auburn St Apt 46, Watertown, MA 02472-4012 2017-12-26
1790111797 Marisa Hamlin Physician Assistant 22670 Summit Dr Bldg 6, Watertown, NY 13601-7208 2013-09-23
1639476260 Kell T Giffin Physician Assistant 930 Holcomb St, Watertown, NY 13601-4228 2011-02-17
1306068812 Mountain Medical of Watertown Physician Assistant 457 Gaffney Dr, Watertown, NY 13601 2007-05-03
1073677498 Nonna Khachiyan Physician Assistant 11 Mason Rd, Watertown, MA 02472-3314 2006-12-20
1528167277 Mark Andrew Knowles Physician Assistant 457 Gaffney Drive, Watertown, NY 13601-1834 2006-09-21
1336167709 Michelle Lynne Boulton Physician Assistant 171 E. Hoard Street, Watertown, NY 13601-1515 2006-07-17
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Competitor

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City WATERTOWN
Zip Code 57201

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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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