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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
0787 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 923024 | 05 |
Street Address |
1223 WILLOW CREEK RD |
City | PRESCOTT |
State | AZ |
Zip Code | 86301-1427 |
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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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 |
Find all providers in zip 86301 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386854925 | Judah D Pifer | Orthopaedic Surgery | 3655 Crossings Dr, Prescott, AZ 86305-7101 | 2007-05-23 |
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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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.