DR. EVAN NICHOLAS SIMONSON


Address: 1223 Willow Creek Rd, Prescott, AZ 86301-1427
Phone: 9287779950

DR. EVAN NICHOLAS SIMONSON (NPI# 1699063743) 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) 1699063743
Entity Type Individual
Full Name DR. EVAN NICHOLAS SIMONSON
Credential D.P.M.
Practice Address 1223 Willow Creek Rd
Prescott
AZ 86301-1427
Practice Telephone 9287779950
Practice Fax Number 9287779975
Mailing Telephone 9287779950
Mailing Fax Number 9287779975
Enumeration Date 2011-07-11
Last Update Date 2016-06-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
0787 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 923024 05

Office Location

Street Address 1223 WILLOW CREEK RD
City PRESCOTT
State AZ
Zip Code 86301-1427

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992708523 Mark A Thiele Physician Assistant 1223 Willow Creek Rd, Prescott, AZ 86301-1427 2005-05-27
1942784632 Megan Sitrin Orthopaedic Surgery 1223 Willow Creek Rd, Prescott, AZ 86301-1427 2018-09-19
1427530690 Kristen M Ayres Physical Therapist 1223 Willow Creek Rd, Prescott, AZ 86301-1427 2018-09-04
1831408384 Granite Orthopaedics Pllc Orthopaedic Surgery 1223 Willow Creek Rd, Prescott, AZ 86301-1427 2010-10-01
1891014353 Deborah Moon Physical Therapist 1223 Willow Creek Rd, Prescott, AZ 86301-1427 2010-05-24
1538498928 Michael Colby Dobson Physician Assistant 1223 Willow Creek Rd, Prescott, AZ 86301-1427 2009-12-14
1245473537 Richard Keith Bassett Specialist 1223 Willow Creek Rd, Prescott, AZ 86301-1427 2009-04-16
1134389232 Wilford Lee Richardson Orthopaedic Surgery 1223 Willow Creek Rd, Prescott, AZ 86301-1427 2008-06-11
1598764755 Lydia Lea Christesen Occupational Therapist 1223 Willow Creek Rd, Prescott, AZ 86301-1427 2005-07-20
1386647998 Paul Christian Pflueger Orthopaedic Surgery 1223 Willow Creek Rd, Prescott, AZ 86301-1427 2005-05-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871102350 Dove Marie Gundermann Specialist/Technologist 300 W. Gurley St, Prescott, AZ 86301 2020-07-30
1639712110 Arizona Orthopedic Physical Therapy, Pllc Clinic/Center 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 2019-10-28
1538714092 Prescott Complete Care Family Medicine 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 2019-08-01
1336612571 Sarah Elizabeth Elliott Registered Nurse 500 Az 89, Prescott, AZ 86301 2019-01-10
1912484270 Asya Ruth Perkins Counselor 225 Grove Avenue, Prescott, AZ 86301 2018-07-19
1396241394 Jerome Alexander Longoria Chiropractor 142 N. Rush St, Prescott, AZ 86301 2018-03-30
1619487675 Yavapai Healthcare Group LLC Nurse Practitioner 999 Division Street, Prescott, AZ 86301 2017-10-04
1053835843 United States Veterans Initiative Counselor 917 E Gurley St, Prescott, AZ 86301 2017-08-02
1164896999 Spitler - Lilley, LLC Hearing Instrument Specialist 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 2015-11-17
1275925265 Oral and Facial Surgery Center of Prescott Dentist 5415 Distiction Way, Prescott, AZ 86301 2015-02-27
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386854925 Judah D Pifer Orthopaedic Surgery 3655 Crossings Dr, Prescott, AZ 86305-7101 2007-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598797318 Domingo Cheleuitte Orthopaedic Surgery 5301 E Grant Rd Bldg 1, Tucson, AZ 85712-2805 2006-07-06
1932189057 John A Nassar Orthopaedic Surgery 8205 N. Via De Negocio Dr., Scottsdale, AZ 85258-2312 2006-01-17
1558365940 Robert Allen Kaye Orthopaedic Surgery 1501 W 24th St, Suite C, Yuma, AZ 85364-6370 2005-06-13
1972046571 Bisdak Ankle Foot Orthopaedic Surgery 1743 W Sienna Bouquet Pl, Phoenix, AZ 85085-8040 2016-11-30
1619252566 Peter W. Mitchell, M.d.,p.c. Orthopaedic Surgery 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 2011-10-11
1609195957 David Eric Jaffe Orthopaedic Surgery 5620 E Bell Rd, Scottsdale, AZ 85254-5950 2010-05-26
1063642304 Arizona Orthopaedic Foot & Ankle Center, LLC Orthopaedic Surgery 20201 N Scottsdale Healthcare Dr, Ste 280, Scottsdale, AZ 85255-4134 2009-07-21
1093919631 Barrett Foot & Ankle Center Phoenix LLC Orthopaedic Surgery 9377 E Bell Rd, Suite 131, Scottsdale, AZ 85260-1502 2007-06-14
1750497756 John A. Nassar, M.d., P.C. Orthopaedic Surgery 8205 N. Via De Negocio Dr., Scottsdale, AZ 85258-2312 2006-08-22
1174508667 Richard J Claridge Orthopaedic Surgery 5779 E Mayo Blvd, Phoenix, AZ 85054 2005-12-07
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Competitor

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City PRESCOTT
Zip Code 86301

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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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